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. 2013 Sep;36(5):492-8.
doi: 10.1179/2045772312Y.0000000076.

Antibiotic prescribing trends in the emergency department for veterans with spinal cord injury and disorder 2002-2007

Charlesnika T Evans  1 , Thea J Rogers, Amy Chin, Stuart Johnson, Bridget Smith, Frances M Weaver, Stephen P Burns
Affiliations

Antibiotic prescribing trends in the emergency department for veterans with spinal cord injury and disorder 2002-2007

Charlesnika T Evans et al. J Spinal Cord Med. 2013 Sep.

Abstract

Objective: Clinical guidelines exist to promote antibiotic stewardship, particularly in ambulatory care settings such as the emergency department (ED). However, there is limited evidence on prescribing practice for persons with spinal cord injury and disorder (SCI/D). The goal of this study was to assess trends in antibiotic prescribing in the ED setting for persons with SCI/D.

Design: A retrospective dynamic cohort study design.

Setting: ED visits that did not result in same day hospitalization over 6 years (fiscal year (FY) 2002-FY2007) in Department of Veterans Affairs (VA) facilities Participants Veterans with SCI/D.

Outcome measures: VA clinical and administrative databases were used to identify the cohort and to obtain demographics, diagnoses, and medications. The rate of antibiotic prescribing for ED visits was defined as the number of antibiotics/total ED visits.

Results: Veterans with SCI/D had 21 934 ED visits and 5887 antibiotics prescribed over the study period (rate of 268.4 prescriptions/1000 visits). The antibiotic prescribing rate increased from 238.8/1000 visits in FY2002 to 310.8/1000 visits in FY2007 (P < 0.0001). This increase in the rate of prescribing was seen across all patient demographics and factors assessed.

Conclusion: Although clinical guidelines for judicious use of antibiotics in persons with SCI/D have been disseminated to providers, antibiotic prescribing in an ED setting is high and continuing to rise in this population.

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Figures

Figure 1
Figure 1
(A) Percentage of broad-spectrum antibiotics prescribed among emergency department visits in which antibiotics were prescribed. (B) Percentage of narrow-spectrum antibiotics prescribed among emergency department visits in which antibiotics were prescribed.
See this image and copyright information in PMC

References

    1. McCaig LF, Besser RE, Hughes JM. Antimicrobial drug prescription in ambulatory care settings, United States, 1992–2000. Emerg Infect Dis 2003;9(5):609 - PMC - PubMed
    1. McCaig L, Friedman CR. Trends in antimicrobial prescribing in ambulatory care settings in the United States, 1993–2004. Poster abstract. 2006 Annual Conference on Antimicrobial Resistance, June 26–28, 2006, Bethesda, Maryland, USA
    1. Stone S, Gonzales R, Maselli J, Lowenstein SR. Antibiotic prescribing for patients with colds, upper respiratory tract infections, and bronchitis: a national study of hospital-based emergency departments. Ann Emerg Med 2000;36(4):320–7 - PubMed
    1. Roumie CL, Halasa NB, Grijalva CG, Edwards KM, Zhu Y, Dittus RS, et al. Trends in antibiotics prescribing for adults in the United States – 1995 to 2002. J Gen Intern Med 2005;20(8):697–702 - PMC - PubMed
    1. Thorpe JM, Smith SR, Trygstad TK. Trends in emergency department antibiotic prescribing for acute respiratory tract infections. Ann Pharmacother 2004;38(6):928–35 - PubMed

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