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Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011

Overview of attention for article published in JAMA: Journal of the American Medical Association, May 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#13 of 20,438)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Mentioned by

news
183 news outlets
blogs
10 blogs
policy
1 policy source
twitter
662 tweeters
facebook
40 Facebook pages
wikipedia
1 Wikipedia page
googleplus
10 Google+ users

Readers on

mendeley
221 Mendeley
Title
Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011
Published in
JAMA: Journal of the American Medical Association, May 2016
DOI 10.1001/jama.2016.4151
Pubmed ID
Authors

Katherine E. Fleming-Dutra, Adam L. Hersh, Daniel J. Shapiro, Monina Bartoces, Eva A. Enns, Thomas M. File, Jonathan A. Finkelstein, Jeffrey S. Gerber, David Y. Hyun, Jeffrey A. Linder, Ruth Lynfield, David J. Margolis, Larissa S. May, Daniel Merenstein, Joshua P. Metlay, Jason G. Newland, Jay F. Piccirillo, Rebecca M. Roberts, Guillermo V. Sanchez, Katie J. Suda, Ann Thomas, Teri Moser Woo, Rachel M. Zetts, Lauri A. Hicks, Fleming-Dutra, Katherine E, Hersh, Adam L, Shapiro, Daniel J, Bartoces, Monina, Enns, Eva A, File, Thomas M, Finkelstein, Jonathan A, Gerber, Jeffrey S, Hyun, David Y, Linder, Jeffrey A, Lynfield, Ruth, Margolis, David J, May, Larissa S, Merenstein, Daniel, Metlay, Joshua P, Newland, Jason G, Piccirillo, Jay F, Roberts, Rebecca M, Sanchez, Guillermo V, Suda, Katie J, Thomas, Ann, Woo, Teri Moser, Zetts, Rachel M, Hicks, Lauri A

Abstract

The National Action Plan for Combating Antibiotic-Resistant Bacteria set a goal of reducing inappropriate outpatient antibiotic use by 50% by 2020, but the extent of inappropriate outpatient antibiotic use is unknown. To estimate the rates of outpatient oral antibiotic prescribing by age and diagnosis, and the estimated portions of antibiotic use that may be inappropriate in adults and children in the United States. Using the 2010-2011 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey, annual numbers and population-adjusted rates with 95% confidence intervals of ambulatory visits with oral antibiotic prescriptions by age, region, and diagnosis in the United States were estimated. Ambulatory care visits. Based on national guidelines and regional variation in prescribing, diagnosis-specific prevalence and rates of total and appropriate antibiotic prescriptions were determined. These rates were combined to calculate an estimate of the appropriate annual rate of antibiotic prescriptions per 1000 population. Of the 184 032 sampled visits, 12.6% of visits (95% CI, 12.0%-13.3%) resulted in antibiotic prescriptions. Sinusitis was the single diagnosis associated with the most antibiotic prescriptions per 1000 population (56 antibiotic prescriptions [95% CI, 48-64]), followed by suppurative otitis media (47 antibiotic prescriptions [95% CI, 41-54]), and pharyngitis (43 antibiotic prescriptions [95% CI, 38-49]). Collectively, acute respiratory conditions per 1000 population led to 221 antibiotic prescriptions (95% CI, 198-245) annually, but only 111 antibiotic prescriptions were estimated to be appropriate for these conditions. Per 1000 population, among all conditions and ages combined in 2010-2011, an estimated 506 antibiotic prescriptions (95% CI, 458-554) were written annually, and, of these, 353 antibiotic prescriptions were estimated to be appropriate antibiotic prescriptions. In the United States in 2010-2011, there was an estimated annual antibiotic prescription rate per 1000 population of 506, but only an estimated 353 antibiotic prescriptions were likely appropriate, supporting the need for establishing a goal for outpatient antibiotic stewardship.

Twitter Demographics

The data shown below were collected from the profiles of 662 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 221 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 5 2%
Spain 1 <1%
United Kingdom 1 <1%
Brazil 1 <1%
Sweden 1 <1%
Colombia 1 <1%
Canada 1 <1%
Ecuador 1 <1%
Unknown 209 95%

Demographic breakdown

Readers by professional status Count As %
Researcher 35 16%
Student > Master 31 14%
Student > Ph. D. Student 28 13%
Other 26 12%
Student > Bachelor 25 11%
Other 76 34%
Readers by discipline Count As %
Medicine and Dentistry 106 48%
Unspecified 22 10%
Agricultural and Biological Sciences 19 9%
Nursing and Health Professions 9 4%
Pharmacology, Toxicology and Pharmaceutical Science 9 4%
Other 56 25%

Attention Score in Context

This research output has an Altmetric Attention Score of 1958. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 September 2017.
All research outputs
#345
of 8,418,954 outputs
Outputs from JAMA: Journal of the American Medical Association
#13
of 20,438 outputs
Outputs of similar age
#25
of 271,816 outputs
Outputs of similar age from JAMA: Journal of the American Medical Association
#2
of 389 outputs
Altmetric has tracked 8,418,954 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 20,438 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 37.1. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 271,816 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 389 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.