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Report: Inappropriate Antibiotic Use Still High Despite Educational Efforts
Date:2/28/2011

by the National Committee for Quality Assurance (NCQA) as "antibiotics of concern" (broad spectrum drugs that should be reserved for infections that are difficult to treat). For BCBSM pediatric members, three of the 10 most commonly prescribed antibiotics were "antibiotics of concern."
  • A geographic analysis of both adult and pediatric antibiotic prescribing patterns showed higher antibiotic use rates outside of southeast Michigan.
  • Regions with higher overall antibiotic use rates for children also had higher percentages of antibiotics used for conditions with viral diagnoses.
  • Geographic differences were more pronounced in the pediatric population, with the highest prescribing rates clustered in the Upper Peninsula, northern lower Michigan, and along the Ohio border.

  • "One factor that might explain this geographic difference is that there are fewer pediatricians in these largely rural areas, and relatively more children being seen by family practitioners," said Gary L. Freed, M.D., MPH, chief of the Division of General Pediatrics at the University of Michigan and director of the Child Health Evaluation and Research (CHEAR) unit at C.S. Mott Children's Hospital. "The CDC's outreach efforts were focused on pediatricians, and in areas where there are more pediatricians, the antibiotic prescribing rate for pediatric patients is lower. This may indicate that the campaign did work as intended, and could be broadened to include other physicians."

    The Antibiotic Prescribing and Use issue brief is the sixth in a series examining the price and patterns of health care in Michigan. While the report identifies important trends and geographic patterns, more research is needed to understand how physician and patient preferences influence the use of antibiotics in Michigan.

    The report also shows that messages from the CDC campaign may have been successful in raising awareness about appropriate antibiotic use among pediatrici
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    SOURCE Center for Healthcare Research & Transformation (CHRT)
    Copyright©2010 PR Newswire.
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