Table 3. Annual National Attributable 30-Day Expenditures of Inappropriate Antibiotic Prescriptions Among the US Commercially Insured Population, Aged 6 Months to 17 Yearsa.
Index diagnoses | Attributable expenditures, 2018 US $ | ||||
---|---|---|---|---|---|
Inpatient medical | Emergency department | Outpatient medical | Outpatient pharmacy | Total | |
Bacterial infections (primary analysis) | |||||
Suppurative OM | 1 235 313 | 777 904 | 7 846 200 | 15 441 487 | 25 300 317 |
Pharyngitis | −750 188 | 2 564 653 | 6 706 388 | 12 752 577 | 21 271 338 |
Sinusitis | −503 873 | 277 773 | 407 416 | 6 899 358 | 7 078 513 |
Viral infections (secondary analysis) | |||||
Influenza | −98 806 | −53 888 | 1 132 300 | 615 754 | 1 594 541 |
Viral URI | 5 430 897 | 439 555 | 8 243 074 | 5 023 360 | 19 132 099 |
Bronchiolitis | −334 451 | 48 984 | 88 877 | 159 028 | −37 871 |
Bronchitis | 1 059 296 | −2 593 873 | −4 624 124 | 2 988 452 | −3 173 797 |
Non-suppurative OM | −16 270 | −962 935 | −17 980 659 | 3 569 023 | −15 395 644 |
Abbreviations: OM, otitis media; URI, upper respiratory infection.
Bronchiolitis cohort was restricted to ages 6 months to 3 years; bronchitis cohort was restricted to ages 5 to 17 years. The 95% confidence intervals are presented in eTable 16 in the Supplement.