975. Use of Electronic Insurance Claims Data to Evaluate Antibiotic Prescription Patterns In The Emirate of Abu Dhabi
Session: Poster Abstract Session: Stewardship: Epidemiology of Antibiotic Use
Friday, October 4, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • IDSA Poster2.pdf (1.0 MB)
  • Background: There are no published data on antimicrobial prescription practices in the United Arab Emirates. The Emirate of Abu Dhabi recently implemented a national health insurance regulation program under which all insurance companies are required to file electronic claims data (e-Claims).  Data gathered contains information regarding physician specialty, drug dispensed and ICD-9 diagnostic codes. We used eClaims data to ascertain prescribing patterns General Practitioners for out-patient use in Primary health care and hospital affiliated clnic settings in Abu Dhabi. 

    Methods:   All outpatient GP encounters that contained a J01 class prescription (Antibiotic - WHO classification) were included. Physicians and facilities were ranked by the percentage of patient encounters that resulted in an antibiotic prescription. We specifically looked at the use of J01DD (3rdgeneration cephalosporins – 3GC) and J01MA (fluoroquinolones). 

    Results:   140 physicians (25%) had >1000 J01 encounters/yr. 52 physicians (37%) had at least 1 in 5 encounters (>20%) that resulted in antibiotic prescription. In a random sample that constituted 15% of all J01 prescriptions, there was tremendous variability in antibiotic preference amongst GPs, with 3rd generation cephalosporins comprising 2.4-91.5% of J01 prescriptions. A similar variance was also seen in quinolone preference (range 9.3-80.7%). There was significant intra and inter-facility variability in the prescription of cephalosporins and fluoroquinolones. Acute pharyngitis and acute bronchitis/bronchiolitis were listed as the diagnosis in 10471/15435 (67.8%) of 3rdGC encounters from the four highest prescribing facilities. 

    Conclusion:   1. There is a high rate of antibiotic prescription by GPs in Abu Dhabi. 2.There appears to be significant variability in antibiotic choice between individual GPs, as well as between facilities 3. Injudicious use of antibiotics is rampant with 67.8% of 3GC and fluoroquinolone prescriptions dispensed for entities mostly caused by viruses. 4. High prescribing physicians should be selectively targeted for education on judicious use of antibiotics.

    Yousuf Naqvi, MBBS1, Rayhan Hashmey, MBBS2, Jens Thomsen, MPH3, Sahar Ismail4 and Asad Khan, MBBS2, (1)Health Regulation Division, Health Aurthority of Abu Dhabi, Abu Dhabi, United Arab Emirates, (2)Medicine, Tawam Hospital, Al Ain, United Arab Emirates, (3)Public Health and Research Division, Health Authority of Abu Dhabi, Abu Dhabi, United Arab Emirates, (4)Health Authority of Abu Dhabi, Abu Dhabi, United Arab Emirates

    Disclosures:

    Y. Naqvi, None

    R. Hashmey, None

    J. Thomsen, None

    S. Ismail, None

    A. Khan, None

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