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Quantifying the Gap between Expected and Actual Rates of Antibiotic Prescribing in British Columbia, Canada Saatchi, Ariana; Yoo, Ji-Won; Schwartz, Kevin L.; Silverman, Michael; Morris, Andrew M.; Patrick, David, (Physician); McCormack, James; Marra, Fawziah

Abstract

Despite decades of stewardship efforts to combat antimicrobial resistance and quantify changes in use, the quality of antibiotic use in British Columbia (BC) remains unknown. As the overuse and misuse of antibiotics drives antibiotic resistance, it is imperative to expand surveillance efforts to examine the quality of antibiotic prescriptions. In late 2019, Canadian expected rates of antibiotic prescribing were developed for common infections. These rates were utilized to quantify the gap between the observed rates of prescribing and Canadian expected rates for antibiotic use for the province of BC. The prescribing data were extracted and matched to physician billing systems using anonymized patient identifiers from 1 January 2000 to 31 December 2018. Outpatient prescribing was further subdivided into community and emergency department settings and stratified by the following age groups:

Item Metadata

Title
Quantifying the Gap between Expected and Actual Rates of Antibiotic Prescribing in British Columbia, Canada
Creator
Saatchi, Ariana; Yoo, Ji-Won; Schwartz, Kevin L.; Silverman, Michael; Morris, Andrew M.; Patrick, David, (Physician); McCormack, James; Marra, Fawziah
Contributor
BC Centre for Disease Control
Publisher
Multidisciplinary Digital Publishing Institute
Date Issued
2021-11-22
Description
Despite decades of stewardship efforts to combat antimicrobial resistance and quantify changes in use, the quality of antibiotic use in British Columbia (BC) remains unknown. As the overuse and misuse of antibiotics drives antibiotic resistance, it is imperative to expand surveillance efforts to examine the quality of antibiotic prescriptions. In late 2019, Canadian expected rates of antibiotic prescribing were developed for common infections. These rates were utilized to quantify the gap between the observed rates of prescribing and Canadian expected rates for antibiotic use for the province of BC. The prescribing data were extracted and matched to physician billing systems using anonymized patient identifiers from 1 January 2000 to 31 December 2018. Outpatient prescribing was further subdivided into community and emergency department settings and stratified by the following age groups:
Subject
antibiotics; epidemiology; antimicrobial resistance (AMR); prescription; respiratory tract infections; outpatient care; emergency care; British Columbia; Canada
Genre
Article
Type
Text
Language
eng
Date Available
2021-11-26
Provider
Vancouver : University of British Columbia Library
Rights
CC BY 4.0
DOI
10.14288/1.0403841
URI
http://hdl.handle.net/2429/80268
Affiliation
Medicine, Faculty of; Pharmaceutical Sciences, Faculty of; Non UBC; Population and Public Health (SPPH), School of
Citation
Antibiotics 10 (11): 1428 (2021)
Publisher DOI
10.3390/antibiotics10111428
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Rights URI
https://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
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Rights

CC BY 4.0