Title

Anthrax attacks and practice patterns: a learning opportunity for health care systems

UMMS Affiliation

Department of Quantitative Health Sciences

Date

1-7-2003

Document Type

Article

Medical Subject Headings

Acute Disease; Alabama; Ambulatory Care Facilities; Anthrax; Antibiotic Prophylaxis; *Bioterrorism; Clinical Pharmacy Information Systems; Doxycycline; Drug Utilization; Fluoroquinolones; Health Services Needs and Demand; Hospitals, Veterans; Humans; Lung Diseases, Obstructive; Ofloxacin; Outpatient Clinics, Hospital; Physician's Practice Patterns; United States; United States Department of Veterans Affairs

Disciplines

Bioinformatics | Biostatistics | Epidemiology | Health Services Research

Abstract

Sudden and unexpected events directly influencing clinical practice patterns are uncommon. After the first report of bioterrorism-related anthrax, the authors studied retrospectively 13 months of anthrax-related antibiotic prescription rates for Veterans Affairs outpatients in one urban area where no cases of anthrax were reported. During the 26 days after the first anthrax report, the rate of acute respiratory illnesses treated with fluoroquinolones was 62.8 per 10,000 outpatient visits, an increase of 41 percent over the rate of 44.4 observed approximately one year earlier (p = 0.058). Acute sociopolitical events such as bioterrorist attacks present a unique opportunity to investigate changes in health care.

Rights and Permissions

Citation: Qual Manag Health Care. 2002 Spring;10(3):31-9.

Related Resources

Link to Article in PubMed