Table 1.
Antibiotic Duration of Therapy for Uncomplicated Outpatient Infectionsa
| Factor | Guideline-Concordant Duration (≤5 Days) (n = 3231), No. (%) | Longer Than Recommended Duration (>5 Days) (n = 2100), No. (%) | P Value |
|---|---|---|---|
| Age, y | |||
| 18–49 | 1979 (61.2) | 1291 (61.5) | .420 |
| 50–64 | 840 (26) | 565 (26.9) | |
| ≥65 | 412 (12.8) | 244 (11.6) | |
| Race/ethnicity | |||
| Hispanic/Latino | 1664 (51.5) | 1071 (51) | .427 |
| White | 1049 (32.5) | 697 (33.2) | |
| Black | 371 (11.5) | 254 (12.1) | |
| Otherb | 147 (4.5) | 78 (3.7) | |
| Sex | |||
| Female | 2299 (71.2) | 1279 (60.9) | <.001 |
| Male | 932 (28.8) | 821 (39.1) | |
| Provider type | |||
| Physician | 1735 (53.7) | 1031 (49.1) | <.001 |
| Advanced practice providerc | 1496 (46.3) | 1069 (50.9) | |
| Site of care | |||
| Adult urgent care center | 1740 (53.8) | 1109 (52.8) | <.001 |
| Family medicine clinic | 700 (21.7) | 609 (29) | |
| Emergency department | 424 (13.1) | 143 (6.8) | |
| Internal medicine clinic | 367 (11.4) | 239 (11.4) | |
| Infection | |||
| Urinary tract infectiond | 1541 (47.7) | 420 (20) | <.001 |
| Skin and soft tissue infectione | 800 (24.8) | 703 (33.5) | |
| Acute sinusitis | 493 (15.2) | 589 (28) | |
| Acute otitis media | 109 (3.4) | 327 (15.6) | |
| Community-acquired pneumonia | 288 (8.9) | 61 (2.9) |
aUncomplicated outpatient infections include purulent and nonpurulent skin cellulitis, cutaneous abscess, acute sinusitis, acute otitis media, community-acquired pneumonia, cystitis, and pyelonephritis treated with a fluoroquinolone.
bAmerican Indian or Alaska Native, Asian, and unknown race/ethnicity.
cPhysician assistant, nurse practitioner, and midwife.
dPyelonephritis treated with a fluoroquinolone and cystitis.
ePurulent and nonpurulent skin cellulitis and subcutaneous abscess.