Variation by Race in Antibiotics Prescribed for Hospitalized Patients With Skin and Soft Tissue Infections

doi:10.1001/jamanetworkopen.2021.40798

Multicenter Study

. 2021 Dec 1;4(12):e2140798.

doi: 10.1001/jamanetworkopen.2021.40798.

Variation by Race in Antibiotics Prescribed for Hospitalized Patients With Skin and Soft Tissue Infections

Alysse G Wurcel^{1

2}, Utibe R Essien³, Christina Ortiz², Xiaoqing Fu⁴, Christian Mancini⁴, Yuqing Zhang^{4

5}, Kimberly G Blumenthal^{4

5}

Affiliations

¹ Division of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
² Tufts University School of Medicine, Boston, Massachusetts.
³ Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
⁴ Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston.
⁵ Harvard Medical School, Boston, Massachusetts.

PMID: 34940871
PMCID: PMC8703249
DOI: 10.1001/jamanetworkopen.2021.40798

Multicenter Study

Variation by Race in Antibiotics Prescribed for Hospitalized Patients With Skin and Soft Tissue Infections

Alysse G Wurcel et al. JAMA Netw Open. 2021.

. 2021 Dec 1;4(12):e2140798.

doi: 10.1001/jamanetworkopen.2021.40798.

Authors

Alysse G Wurcel^{1

2}, Utibe R Essien³, Christina Ortiz², Xiaoqing Fu⁴, Christian Mancini⁴, Yuqing Zhang^{4

5}, Kimberly G Blumenthal^{4

5}

Affiliations

¹ Division of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
² Tufts University School of Medicine, Boston, Massachusetts.
³ Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
⁴ Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston.
⁵ Harvard Medical School, Boston, Massachusetts.

PMID: 34940871
PMCID: PMC8703249
DOI: 10.1001/jamanetworkopen.2021.40798

Abstract

This cohort study examines antibiotics prescribed and variations by race among hospitalized patients with skin and soft tissue infections (SSTIs).

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Essien reported receiving grants from Department of Veterans Affairs (CDA-20-049) outside the submitted work. Dr Blumenthal reported receiving grants from the National Institutes of Health (NIH), grants from the Massachusetts General Hospital Transformative Scholars Award, grants from the Massachusetts General Hospital Executive Committee on Research, and personal fees from Weekley Schulte Valdes outside the submitted work. No other disclosures were reported.

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References

1. Fritz SA, Shapiro DJ, Hersh AL. National trends in incidence of purulent skin and soft tissue infections in patients presenting to ambulatory and emergency department settings, 2000-2015. Clin Infect Dis. 2020;70(12):2715-2718. doi:10.1093/cid/ciz977 - DOI - PubMed
1. Stevens DL, Bisno AL, Chambers HF, et al. ; Infectious Diseases Society of America . Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014;59(2):e10-e52. doi:10.1093/cid/ciu296 - DOI - PubMed
1. Essien UR, Dusetzina SB, Gellad WF. A policy prescription for reducing health disparities-achieving pharmacoequity. JAMA. 2021. doi:10.1001/jama.2021.17764 - DOI - PubMed
1. Kamath RS, Sudhakar D, Gardner JG, Hemmige V, Safar H, Musher DM. Guidelines vs actual management of skin and soft tissue infections in the emergency department. Open Forum Infect Dis. 2018;5(1):ofx188. doi:10.1093/ofid/ofx188 - DOI - PMC - PubMed
1. Haran JP, Wilsterman E, Zeoli T, Goulding M, McLendon E, Clark MA. Deviating from IDSA treatment guidelines for non-purulent skin infections increases the risk of treatment failure in emergency department patients. Epidemiol Infect. 2018;147:e68. doi:10.1017/S0950268818003291 - DOI - PMC - PubMed

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[1] Fritz SA, Shapiro DJ, Hersh AL. National trends in incidence of purulent skin and soft tissue infections in patients presenting to ambulatory and emergency department settings, 2000-2015. Clin Infect Dis. 2020;70(12):2715-2718. doi:10.1093/cid/ciz977 - DOI - PubMed

[2] Fritz SA, Shapiro DJ, Hersh AL. National trends in incidence of purulent skin and soft tissue infections in patients presenting to ambulatory and emergency department settings, 2000-2015. Clin Infect Dis. 2020;70(12):2715-2718. doi:10.1093/cid/ciz977 - DOI - PubMed

[3] Stevens DL, Bisno AL, Chambers HF, et al. ; Infectious Diseases Society of America . Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014;59(2):e10-e52. doi:10.1093/cid/ciu296 - DOI - PubMed

[4] Stevens DL, Bisno AL, Chambers HF, et al. ; Infectious Diseases Society of America . Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014;59(2):e10-e52. doi:10.1093/cid/ciu296 - DOI - PubMed

[5] Essien UR, Dusetzina SB, Gellad WF. A policy prescription for reducing health disparities-achieving pharmacoequity. JAMA. 2021. doi:10.1001/jama.2021.17764 - DOI - PubMed

[6] Essien UR, Dusetzina SB, Gellad WF. A policy prescription for reducing health disparities-achieving pharmacoequity. JAMA. 2021. doi:10.1001/jama.2021.17764 - DOI - PubMed

[7] Kamath RS, Sudhakar D, Gardner JG, Hemmige V, Safar H, Musher DM. Guidelines vs actual management of skin and soft tissue infections in the emergency department. Open Forum Infect Dis. 2018;5(1):ofx188. doi:10.1093/ofid/ofx188 - DOI - PMC - PubMed

[8] Kamath RS, Sudhakar D, Gardner JG, Hemmige V, Safar H, Musher DM. Guidelines vs actual management of skin and soft tissue infections in the emergency department. Open Forum Infect Dis. 2018;5(1):ofx188. doi:10.1093/ofid/ofx188 - DOI - PMC - PubMed

[9] Haran JP, Wilsterman E, Zeoli T, Goulding M, McLendon E, Clark MA. Deviating from IDSA treatment guidelines for non-purulent skin infections increases the risk of treatment failure in emergency department patients. Epidemiol Infect. 2018;147:e68. doi:10.1017/S0950268818003291 - DOI - PMC - PubMed

[10] Haran JP, Wilsterman E, Zeoli T, Goulding M, McLendon E, Clark MA. Deviating from IDSA treatment guidelines for non-purulent skin infections increases the risk of treatment failure in emergency department patients. Epidemiol Infect. 2018;147:e68. doi:10.1017/S0950268818003291 - DOI - PMC - PubMed

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Variation by Race in Antibiotics Prescribed for Hospitalized Patients With Skin and Soft Tissue Infections

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Variation by Race in Antibiotics Prescribed for Hospitalized Patients With Skin and Soft Tissue Infections

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