Evidence map›Paper›PMID 32665959›Full record

ArticleOpen forum infectious diseases2020

The Impact of Influenza Vaccination on Antibiotic Use in the United States, 2010-2017.

Eili Y Klein, Emily Schueller, Katie K Tseng, Daniel J Morgan, Ramanan Laxminarayan, Arindam Nandi

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 37 citations in OpenAlex.

  1. The Effectiveness of Nirsevimab on Antibiotic Use in Children Using Target Trial Emulation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Climate change and antimicrobial resistance.Nature reviews. Microbiology · 2026
    Review
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  10. Global trends in antibiotic consumption during 2016-2023 and future projections through 2030.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  11. Routine immunization againstThe Lancet regional health. Southeast Asia · 2024
    Article
  12. Observational
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  14. Vaccination to Reduce Antimicrobial Resistance Burden-Data Gaps and Future Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Eili Y KleinCenter for Disease Dynamics, Economics & Policy, Washington, DC, USA.ORCID 0000-0002-1304-5289
Emily SchuellerCenter for Disease Dynamics, Economics & Policy, Washington, DC, USA.
Katie K TsengCenter for Disease Dynamics, Economics & Policy, Washington, DC, USA.
Daniel J MorganUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.
Ramanan LaxminarayanCenter for Disease Dynamics, Economics & Policy, Washington, DC, USA.
Arindam NandiCenter for Disease Dynamics, Economics & Policy, Washington, DC, USA.
Center for Disease Dynamics, Economics & Policy · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfluenza, which peaks seasonally, is an important driver for antibiotic prescribing. Although influenza vaccination has been shown to reduce severe illness, evidence of the population-level effects of vaccination coverage on rates of antibiotic prescribing in the United States is lacking.

methodsWe conducted a retrospective analysis of influenza vaccination coverage and antibiotic prescribing rates from 2010 to 2017 across states in the United States, controlling for differences in health infrastructure and yearly vaccine effectiveness. Using data from IQVIA's Xponent database and the US Centers for Disease Control and Prevention's FluVaxView, we employed fixed-effects regression analysis to analyze the relationship between influenza vaccine coverage rates and the number of antibiotic prescriptions per 1000 residents from January to March of each year.

resultsWe observed that, controlling for socioeconomic differences, access to health care, childcare centers, climate, vaccine effectiveness, and state-level differences, a 10-percentage point increase in the influenza vaccination rate was associated with a 6.5% decrease in antibiotic use, equivalent to 14.2 (95% CI, 6.0-22.4;

conclusionsIncreased influenza vaccination uptake at the population level is associated with state-level reductions in antibiotic use. Expanding influenza vaccination could be an important intervention to reduce unnecessary antibiotic prescribing.

Indexed as

antibiotic consumptionantimicrobial resistanceecological studyinfluenza vaccinationupper respiratory tract infections

Identifiers

PMID32665959
PMCPMC7336555
OpenAlexW2981697447

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.