Table. Antibiotic Prescribing for Select Diagnoses Across the 4 Ambulatory Care Settings.
| Diagnosis | Urgent Care Center | Retail Clinic | Emergency Department | Medical Office | ||||
|---|---|---|---|---|---|---|---|---|
| Visits, No. (% of Total Visits) | Antibiotic Prescribing, % (95% CI) | Visits, No. (% of Total Visits) | Antibiotic Prescribing, % (95% CI) | Visits, No. (% of Total Visits) | Antibiotic Prescribing, % (95% CI) | Visits, No. (% of Total Visits) | Antibiotic Prescribing, % (95% CI) | |
| Antibiotic almost always indicateda | ||||||||
| Urinary tract infection | 109 449 (4.0) | 79.8 (79.6-80.0) | 2271 (3.9) | 86.5 (85.0-87.9) | 143 793 (3.0) | 66.6 (66.4-66.9) | 904 819 (0.6) | 67.0 (66.9-67.1) |
| Pneumonia | 17 393 (0.6) | 83.0 (82.4-83.5) | 127 (0.2) | 91.3 (85.0-95.6) | 33 786 (0.7) | 66.4 (65.9-66.9) | 168 677 (0.1) | 75.2 (75.0-75.4) |
| Antibiotic may be indicatedb | ||||||||
| Pharyngitis | 316 202 (11.6) | 59.7 (59.6-59.9) | 8512 (14.6) | 56.5 (55.5-57.6) | 111 645 (2.3) | 46.7 (46.4-47.0) | 2 585 533 (1.7) | 51.3 (51.3-51.4) |
| Sinusitis | 301 363 (11.1) | 82.2 (82.1-82.4) | 9317 (16.0) | 86.9 (86.2-87.6) | 53 097 (1.1) | 67.5 (67.2-68.0) | 2 992 565 (2.0) | 76.0 (75.9-76.0) |
| Acute otitis media | 96 915 (3.6) | 82.8 (82.5-83.0) | 3369 (5.8) | 85.5 (84.3-86.7) | 52 131 (1.1) | 71.9 (71.6-72.3) | 1 194 365 (0.8) | 79.1 (79.0-79.1) |
| Antibiotic-inappropriate diagnosesc | ||||||||
| Viral upper respiratory tract infection | 207 079 (7.6) | 41.6 (41.4-41.8) | 5336 (9.2) | 10.5 (9.7-11.3) | 95 287 (2.0) | 18.7 (18.5-19.0) | 2 308 891 (1.6) | 29.9 (29.8-29.9) |
| Bronchitis and/or bronchiolitis | 115 542 (4.2) | 75.8 (75.5-76.0) | 1556 (2.7) | 31.1 (28.8-33.5) | 59 702 (1.2) | 56.6 (56.2-57.0) | 798 703 (0.5) | 73.1 (73.0-73.2) |
| Asthma/Allergy | 52 523 (1.9) | 20.5 (20.1-20.8) | 1210 (2.1) | 6.1 (4.8-7.6) | 73 281 (1.5) | 11.2 (11.0-11.5) | 5 484 557 (3.7) | 3.2 (3.2-3.2) |
| Influenza | 44 427 (1.6) | 12.8 (12.5-13.1) | 1214 (2.1) | 3.8 (2.8-5.0) | 25 516 (0.5) | 7.9 (7.6-8.3) | 240 379 (0.2) | 11.4 (11.3-11.6) |
| Nonsuppurative otitis media | 21 966 (0.8) | 52.2 (51.6-52.9) | 693 (1.2) | 40.7 (37.0-44.5) | 3012 (0.1) | 41.7 (39.9-43.5) | 369 086 (0.2) | 23.6 (23.4-23.7) |
| Viral pneumonia | 68 (<0.1) | 72.1 (59.9-82.3) | 0 | 0 | 212 (<0.1) | 21.7 (16.4-27.9) | 1660 (<0.1) | 57.5 (55.1-59.9) |
| All diagnoses | 2 723 316 | 39.0 (39.0-39.1) | 58 206 | 36.4 (36.0-36.8) | 4 781 047 | 13.8 (13.8-13.8) | 148 453 330 | 7.1 (7.1-7.1) |
a
Miscellaneous bacterial infections not shown.
b
Acne; gastrointestinal infections; and skin, cutaneous, and mucosal infections not shown.
c
Miscellaneous other nonbacterial infections; other gastrointestinal conditions; other skin, cutaneous, and mucosal conditions; other genitourinary conditions; other respiratory conditions; and all other codes not listed elsewhere not shown.