Managed Care


Yet Another Warning About Antibiotic Overprescribing

Yet Another Warning About Antibiotic Overprescribing

Frank Diamond

Sisyphus had to roll that boulder up the hill as punishment for deceit. Telling the truth has its own rewards, thankfully, because sometimes that too can seem a Sisyphean enterprise. Yet another warning that antibiotics are being overprescribed, this time in a letter in the April 11 issue of the New England Journal of Medicine ( The authors note that over 50 percent of antibiotics are distributed unnecessarily and find — surprise! — wide variation in prescribing patterns based on provider specialty, patient age, and location.

“Prescribing rates were higher among persons younger than 10 years of age and persons 65 years of age or older,” write authors Lauri A. Hicks, DO, and Thomas H. Taylor, Jr., MS. They examined 2010 data in the IMS Health Xponent database and found that 258 million courses of antibiotics were prescribed. Prescribing rates were highest in the South. The most frequently prescribed antibiotic agent was azithromycin.

Here’s some context: Almost 90 percent of Americans know that antibiotics can treat bacterial infections, but a third also believe that they can fight viral infections as well, according to a poll by the Centers for Disease Control and Prevention last year. More context? How about the soaring growth of antibiotic-resistant superbugs? Keep pushing that rock.  


Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014