ArticleJournal of the American Geriatrics Society2018
Outpatient Antibiotic Prescribing for Older Adults in the United States: 2011 to 2014.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Pharmacokinetics and Target Attainment of Fluoroquinolones in Older Adults: A Systematic Review.Clinical pharmacokinetics · 2026Pooled it
- Residency Competency Assessments and Early-Career Primary Care Physicians' Antibiotic Prescribing.JAMA network open · 2026Article
- Antibiotic Use in the Emergency Department: A Retrospective Study in Indonesia.Antibiotics (Basel, Switzerland) · 2026Article
- [Core curriculum of intensive care and emergency medicine in internal medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- Antimicrobial stewardship competencies in undergraduate dental education: a multicentre cross-sectional study of clinical dental students in Southern Nigeria.BMC medical education · 2025Article
- Epidemiological characteristics of antimicrobial use in Primary Care in Spain: a nationwide study.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025Observational
- Aging amplifies a gut microbiota immunogenic signature linked to heightened inflammation.Aging cell · 2024Article
- [Clinical acute and emergency medicine curriculum-focus on internal medicine : Recommendations for advanced training in internal medicine in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Review
- Decreases and Pronounced Geographic Variability in Antibiotic Prescribing in Medicaid.Pharmacy (Basel, Switzerland) · 2024Article
- Acute Respiratory Infection Incidence and Outpatient Antibiotic Prescription Patterns in People With or Without Human Immunodeficiency Virus Infection: A Virtual Cohort Study.Open forum infectious diseases · 2023Article
- Biomarkers for risk stratification and antibiotic stewardship in elderly patients.Aging clinical and experimental research · 2023Review
- Impact of a Statewide Livestock Antibiotic Use Policy on Resistance in Human UrineEnvironmental health perspectives · 2023Article
- "Cultural" Variation in Antibiotic Prescribing: Have Regional Differences Had Their Day?Open forum infectious diseases · 2023Article
- Ciprofloxacin exacerbates dysfunction of smooth muscle cells in a microphysiological model of thoracic aortic aneurysm.JCI insight · 2023Article
- Does poverty increase antibiotic prescribing rates through underlying health conditions? Ecological study using parallel mediation analysis.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Characteristics of patients associated with any outpatient antibiotic prescribing among Medicare Part D enrollees, 2007-2018.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Comparison of outpatient antibiotic prescriptions among older adults in IQVIA Xponent and publicly available Medicare Part D data, 2018.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Decrease in Tuberculosis Cases during COVID-19 Pandemic as Reflected by Outpatient Pharmacy Data, United States, 2020.Emerging infectious diseases · 2022Article
- Immediate Hypersensitivity to Fluoroquinolones: A Cohort Assessing Cross-Reactivity.Open forum infectious diseases · 2022Article
- Identifying Higher-Volume Antibiotic Outpatient Prescribers Using Publicly Available Medicare Part D Data - United States, 2019.MMWR. Morbidity and mortality weekly report · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo characterize antibiotics prescribed to older adults to guide efforts to improve antibiotic use.
designDescriptive analysis.
settingAmbulatory.
participantsAdults aged 65 and older in the United States. MEASUREMENTS: Information on outpatient antibiotic prescriptions dispensed for older adults from 2011 to 2014 was extracted from the IQVIA Xponent database. A chi-square trend analysis was conducted to assess annual changes in antibiotic prescribing rates. A descriptive analysis of prescribing rates by antibiotic, age group, sex, state, Census region, and provider specialty was conducted.
resultsFrom 2011 to 2014, outpatient antibiotic prescribing rates remained stable in older U.S. adults (P = .89). In 2014, older adults were dispensed 51.6 million prescriptions (1,115 prescriptions/1,000 persons). Persons aged 75 and older had a higher prescribing rate (1,157 prescriptions/1,000 persons) than those aged 65 to 74 (1,084 prescriptions/1,000 persons). Prescribing rates were highest in the South 1228 prescriptions/1,000 persons) and lowest in the West (854 prescriptions/1,000 persons). The most commonly prescribed class was quinolones, followed by penicillins and macrolides. Azithromycin was the most commonly prescribed drug, followed by amoxicillin and ciprofloxacin. Internists and family physicians prescribed 43% of antibiotic courses.
conclusionOn average, in 2014, U.S. adults aged 65 and older received enough outpatient antibiotic courses for every older adult to receive at least 1. Quinolones and azithromycin are potential targets for assessing the appropriateness of antibiotic prescribing in this population. Interventions to improve use targeting internists and family physicians in the South Census region might have the potential to have the greatest effect.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.