Two studies by University of Michigan physicians suggest that inadequate record-keeping in clinics and emergency departments may hinder efforts to reduce inappropriate antibiotic use. Approximately 10% of children and 35% of adults receiving antibiotic prescriptions lacked a specific reason in their record. The studies show higher rates of inappropriate prescribing in adults with Medicaid coverage or no insurance. Detailed documentation is crucial to estimate and address inappropriate prescribing. Incentives for accurate diagnosis coding in prescribing antibiotics may be necessary. The findings aim to enhance antibiotic stewardship and combat antibiotic resistance by ensuring antibiotics are prescribed only when necessary.
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