Inappropriate Prescribing of Antibiotics to Pediatric Patients Receiving Medicaid: Comparison of High-Volume and Non-High-Volume Antibiotic Prescribers—Kentucky, 2019

Bethany A. Wattles; Michael J. Smith; Yana Feygin; Kahir Jawad; Andrea Flinchum; Brittany Corley; Kevin B. Spicer

doi:10.3390/healthcare11162307

Healthcare (Aug 2023)

Inappropriate Prescribing of Antibiotics to Pediatric Patients Receiving Medicaid: Comparison of High-Volume and Non-High-Volume Antibiotic Prescribers—Kentucky, 2019

Bethany A. Wattles,
Michael J. Smith,
Yana Feygin,
Kahir Jawad,
Andrea Flinchum,
Brittany Corley,
Kevin B. Spicer

Affiliations

Bethany A. Wattles: Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY 40202, USA
Michael J. Smith: Department of Pediatrics, Duke University Medical Center and Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, NC 27710, USA
Yana Feygin: Department of Pediatrics, Norton Children’s and University of Louisville School of Medicine, Louisville, KY 40202, USA
Kahir Jawad: Department of Pediatrics, Norton Children’s and University of Louisville School of Medicine, Louisville, KY 40202, USA
Andrea Flinchum: Healthcare-Associated Infection/Antibiotic Resistance Prevention Program, Division of Epidemiology and Health Planning, Kentucky Department for Public Health, Frankfort, KY 40621, USA
Brittany Corley: Healthcare-Associated Infection/Antibiotic Resistance Prevention Program, Division of Epidemiology and Health Planning, Kentucky Department for Public Health, Frankfort, KY 40621, USA
Kevin B. Spicer: Healthcare-Associated Infection/Antibiotic Resistance Prevention Program, Division of Epidemiology and Health Planning, Kentucky Department for Public Health, Frankfort, KY 40621, USA

DOI: https://doi.org/10.3390/healthcare11162307
Journal volume & issue: Vol. 11, no. 16
p. 2307

Abstract

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Inappropriate antibiotic prescribing to pediatric Medicaid patients was compared among high-volume and non-high-volume prescribers. High-volume prescribers had a higher percentage of inappropriate prescriptions than non-high-volume prescribers (17.2% versus 15.8%, p = 0.005). Targeting high-volume prescribers for stewardship efforts is a practical approach to reducing outpatient antibiotic prescribing that also captures inappropriate use.

Published in Healthcare

ISSN: 2227-9032 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine
Website: http://www.mdpi.com/journal/healthcare

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