Att D_CHOP BAA Benchmark Presentation
Attachment D_Benchmark Presentation.pptx
CDC/ATSDR Formative Research and Tool Development
Att D_CHOP BAA Benchmark Presentation
OMB: 0920-1154
Benchmarking
outpatient antibiotic prescribing
•IMS Health Xponent database
•262.5 million antibiotic prescriptions dispensed in 2011
•842 prescriptions per 1000 persons
Antibiotic use: outpatient children
US | Sweden | |
All | 833 | 388 |
quinolones | 105 | 25 |
macrolides | 185 | 12 |
cephalosporins | 117 | 12 |
Ternhag A. NEJM 2013;369:1175-1176.
Hicks LA et al. NEJM 2010;368:1461-2
Swedish Institute for Communicable Disease Control
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US | Sweden | |
All | 833 | 388 |
quinolones | 105 | 25 |
macrolides | 185 | 12 |
cephalosporins | 117 | 12 |
Ternhag A. NEJM 2013;369:1175-1176.
Hicks LA et al. NEJM 2010;368:1461-2
Swedish Institute for Communicable Disease Control
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•use drives resistance
•bacteria have shown the ability to become resistant to every antibiotic that has been developed
Adverse effects of antibiotic use
Resistance aside…
•5%–25% diarrhea
•1 in 1000 visit emergency department for adverse effect of antibiotic
•comparable to insulin, warfarin, and digoxin
•1 in 4000 chance that an antibiotic will prevent serious complication from ARTI
Antibiotic use for artis
•21% of all ambulatory visits for children receive an antibiotic RX
•72% for ARTI
•diagnosis-specific rates of total and appropriate antibiotic prescribing determined based on national guidelines and regional variation
•30% overall reduction suggested
•50% for ARTIs
What we would like to do:
•Show antibiotic prescribing rates across CHOP practices
•Get YOUR FEEBACK on how best to display these data
•Use these data to establish an achievable benchmark for antibiotic prescribing for ARTIs
To summarize ...
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