Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis

This HEDIS Measure

Assesses adults 18˗64 years of age with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription (a higher rate is better).

So What?

Antibiotics cost the health care system billions of dollars each year, and treating conditions such as acute bronchitis adds to the cost. Current guidelines recommend against antibiotic treatment for acute bronchitis in adults who are otherwise healthy1,2 because overuse can lead to antibiotic resistance.3

Acute bronchitis almost always gets better on its own; therefore, adults who do not have other health problems should not take antibiotics. Ensuring the appropriate use of antibiotics for patients with acute bronchitis will help them avoid harmful side-effects and possible resistance to antibiotics over time. 

The Bottom Line

References

  1. Centers for Disease Control and Prevention (CDC). 2013. “Get Smart: Know When Antibiotics Work—Antibiotic Resistance Questions & Answers.” http://www.cdc.gov/getsmart/antibiotic-use/antibiotic-resistance-faqs.html#define-antibiotic-resistance
  2. 2013. “Acute Cough Illness (Acute Bronchitis): Physician Information Sheet (Adults).” http://www.cdc.gov/getsmart/campaign-materials/info-sheets/adult-acute-cough-illness.html
  3. 2013. “Get Smart: Know When Antibiotics Work—Bronchitis (Chest Cold).” http://www.cdc.gov/getsmart/antibiotic-use/uri/bronchitis.html
tables
Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 29.9 27.0 30.4  
2015 27.6 25.8 28.1
2014 27.7 25.9 28.5
2013 26.1 23.8 26.5
2012 24.6 21.4 24.2
2011 23.5 21.5 24.3
2010 22.5 21.3 23.5
2009 24.0 22.6 25.6
2008 24.6 26.8 25.8
2007 25.4 29.3 25.9
2006 28.7 29.7 28.0