AI Article Synopsis
- Oral antibiotics are commonly used to treat hidradenitis suppurativa (HS) due to their anti-inflammatory and antimicrobial effects, raising concerns about antibiotic overuse.
- This study compared antibiotic prescribing habits between dermatology and non-dermatology clinicians for HS using data from the National Ambulatory Medical Care Survey between 2005 and 2016.
- It was found that while overall antibiotic prescribing rates were similar, dermatology clinicians were significantly more likely to prescribe tetracyclines compared to non-dermatology clinicians.
Article Abstract
Background: Oral antibiotics are a mainstay of treatment for hidradenitis suppurativa (HS) primarily due to their anti-inflammatory and anti-microbial properties. Because antibiotics are frequently prescribed to treat HS, concerns exist regarding antibiotic stewardship. There is a paucity of literature comparing how antibiotic prescribing patterns for HS differ between dermatology and non-dermatology clinicians in the ambulatory setting.
Objective: This study aims to compare the antibiotic prescribing patterns of dermatology versus non-dermatology clinicians treating HS in the ambulatory setting.
Methods: We utilised the National Ambulatory Medical Care Survey (NAMCS) to identify visits for HS patients from 2005 to 2016. We performed multivariate logistic regression analysis to compare the likelihood of prescribing (1) antibiotics and (2) tetracyclines between dermatology and non-dermatology clinicians in the ambulatory setting.
Results: We identified a total of 2 424 125 (weighted) HS visits. Approximately 28.0% of visits were conducted by dermatology clinicians, while 72.0% were conducted by non-dermatology clinicians. Antibiotics were prescribed in 51.9% of visits. Tetracyclines were the most commonly prescribed antibiotics among visits with dermatology clinicians (33.4%), while penicillins/cephalosporins were the most commonly prescribed antibiotic among visits with non-dermatology clinicians (14.9%). Multivariate logistic regression analysis demonstrated no difference in the overall likelihood of prescribing antibiotic therapy between dermatology and non-dermatology clinicians ( = 0.35). However, dermatology clinicians were significantly more likely to prescribe tetracyclines than non-dermatology clinicians (OR 5.48, 95% CI 1.19-25.26, = 0.03).
Conclusion: In conclusion, dermatology clinicians were significantly more likely to prescribe tetracyclines than non-dermatology clinicians for HS patient visits.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442064 | PMC |
| http://dx.doi.org/10.1002/ski2.451 | DOI Listing |
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View Article and Find Full Text PDFArticle Synopsis
- Oral antibiotics are commonly used to treat hidradenitis suppurativa (HS) due to their anti-inflammatory and antimicrobial effects, raising concerns about antibiotic overuse.
- This study compared antibiotic prescribing habits between dermatology and non-dermatology clinicians for HS using data from the National Ambulatory Medical Care Survey between 2005 and 2016.
- It was found that while overall antibiotic prescribing rates were similar, dermatology clinicians were significantly more likely to prescribe tetracyclines compared to non-dermatology clinicians.
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