Geographic Variation in Receipt of Psychotherapy in Children Receiving Attention-Deficit/Hyperactivity Disorder Medications
Author(s) -
Walid F. Gellad,
Bradley D. Stein,
Teague Ruder,
Rochelle Henderson,
Sharon Glave Frazee,
Ateev Mehrotra,
Julie M. Donohue
Publication year - 2014
Publication title -
jama pediatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.004
H-Index - 183
eISSN - 2168-6211
pISSN - 2168-6203
DOI - 10.1001/jamapediatrics.2014.1647
Subject(s) - medicine , receipt , attention deficit hyperactivity disorder , psychiatry , attention deficit disorder , variation (astronomy) , physics , world wide web , astrophysics , computer science
Antibiotics were prescribed during 60% of pharyngitis visits for children (Table). Narrow-spectrum penicillins accounted for 61% of antibiotics prescribed. During the 14-year study period,narrow-spectrumpenicillinprescribingdecreasedfrom65% (95% CI, 57%-72%) of antibiotics in 1997 to 1998 to 52% (95% CI, 44%-60%) in 2009 to 2010 (P = .08), while macrolides increased (P < .01) (Figure). Macrolides and first-generation cephalosporins (second-line antibiotics for GAS pharyngitis) and second-/thirdgeneration cephalosporins and amoxicillin-clavulanate (not recommended)accountedfor21%and18%ofantibioticsprescribed, respectively.
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