Trends Over Time in Antibiotic Prescribing by Dermatologists

JAMA Dermatology

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, JANUARY 16, 2019

Media advisory: To contact corresponding author John S. Barbieri, M.D., M.B.A., email John Infanti at John.Infanti@pennmedicine.upenn.edu. The full study, an editorial and a podcast are linked to this news release.

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Bottom Line: This study looked at trends over time in oral antibiotic prescribing by dermatologists using commercial insurance claims data for almost 986,000 courses of oral antibiotics prescribed by nearly 12,000 dermatologists. Overall, between 2008 and 2016, there was a decrease in antibiotic prescribing (from 3.36 to 2.13 courses per 100 visits with a dermatologist) and much of that decline came from a decrease in extended courses of antibiotics prescribed for acne and rosacea. However, prescribing of postoperative antibiotics after surgical visits increased (from 3.92 to 6.65 courses per 100 visits) and researchers suggest that practice be evaluated. The possibility of misclassification of diagnoses related to antibiotic prescriptions exists in this observational study.

Authors: John S. Barbieri, M.D., M.B.A., of the University of Pennsylvania Perelman School of Medicine, Philadelphia, and coauthors

 

(doi:10.1001/jamadermatol.2018.4944)

Editor’s Note: The article contains funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

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