Table 4.

Clinical Outcomes

2019
n = 19 317
2020
n = 8954
2021
n = 15 754
2022
n = 29 173
Total
N = 73 198
Treatment failure, n (%) (antibiotic prescription associated with AOM diagnosis code between 3 and 14 days after index visit)116 (0.6)37 (0.4)87 (0.6)166 (0.6)406 (0.6)
 Treatment failure with index antibiotic prescription (n = 61 612)95 (0.6)34 (0.5)80 (0.6)150 (0.6)359 (0.6)
 Treatment failure with 5-day index antibiotic prescription (n = 3144)3 (0.5)3 (1.0)1 (0.2)14 (0.9)21 (0.7)
 Treatment failure with 7-day index antibiotic prescription (n = 12 060)13 (0.7)6 (0.6)20 (0.8)54 (0.8)93 (0.8)
 Treatment failure with 10-day index antibiotic prescription (n = 45 689)79 (0.6)23 (0.4)56 (0.6)79 (0.5)237 (0.5)
 Treatment failure with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Treatment failure with NO index antibiotic prescription (n = 11 586)21 (0.7)3 (0.2)7 (0.3)16 (0.4)47 (0.4)
Recurrence, n (%) (antibiotic prescription associated with AOM diagnosis code between 15 and 30 days after index visit)153 (0.8)32 (0.4)107 (0.7)220 (0.8)512 (0.7)
 Recurrence with index antibiotic prescription (n = 61 612)141 (0.9)30 (0.4)99 (0.7)199 (0.8)469 (0.8)
 Recurrence with 5-day index antibiotic prescription (n = 3144)3 (0.5)1 (0.3)2 (0.3)8 (0.5)14 (0.4)
 Recurrence with 7-day index antibiotic prescription (n = 12 060)21 (1)4 (0.4)21 (0.8)69 (1)115 (1.0)
 Recurrence with 10-day index antibiotic prescription (n = 45 689)114 (0.9)23 (0.4)72 (0.7)121 (0.7)330 (0.7)
 Recurrence with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Recurrence with NO index antibiotic prescription (n = 11 586)12 (0.4)2 (0.1)8 (0.3)21 (0.5)43 (0.4)
Office visit for AOM within 30 days after index visit, n (%)838 (4)318 (4)692 (4)1523 (5)3371 (5)
ED or urgent-care visit for AOM within 30 days after index visit, n (%)1048 (5)382 (4)907 (6)1712 (6)4049 (6)
Hospitalized day of or within 30 days after index visit, n (%)68 (0.4)27 (0.3)58 (0.4)106 (0.4)259 (0.4)
C. difficile test performed, n (%)2 (0.01)0 (0)4 (0.03)5 (0.02)1 (0.02)
C. difficile test positive, n (%)0 (0)0 (0)0 (0)0 (0)0 (0)
Any adverse drug event, n (%)524 (3)166 (2)443 (3)755 (3)1888 (3)
 Diarrhea19 (0.1)2 (0.02)9 (0.1)20 (0.1)50 (0.1)
 Vomiting26 (0.1)7 (0.1)25 (0.2)38 (0.1)96 (0.1)
 Candidiasis4 (0.02)3 (0.04)7 (0.05)13 (0.05)27 (0.04)
 Noncandidal rash45 (0.2)15 (0.2)34 (0.2)48 (0.2)142 (0.2)
 Other and unspecified Allergy6 (0.03)2 (0.02)2 (0.01)5 (0.02)15 (0.02)
Mastoiditis, n (%)5 (0.03)1 (0.01)3 (0.02)7 (0.02)16 (0.02)
2019
n = 19 317
2020
n = 8954
2021
n = 15 754
2022
n = 29 173
Total
N = 73 198
Treatment failure, n (%) (antibiotic prescription associated with AOM diagnosis code between 3 and 14 days after index visit)116 (0.6)37 (0.4)87 (0.6)166 (0.6)406 (0.6)
 Treatment failure with index antibiotic prescription (n = 61 612)95 (0.6)34 (0.5)80 (0.6)150 (0.6)359 (0.6)
 Treatment failure with 5-day index antibiotic prescription (n = 3144)3 (0.5)3 (1.0)1 (0.2)14 (0.9)21 (0.7)
 Treatment failure with 7-day index antibiotic prescription (n = 12 060)13 (0.7)6 (0.6)20 (0.8)54 (0.8)93 (0.8)
 Treatment failure with 10-day index antibiotic prescription (n = 45 689)79 (0.6)23 (0.4)56 (0.6)79 (0.5)237 (0.5)
 Treatment failure with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Treatment failure with NO index antibiotic prescription (n = 11 586)21 (0.7)3 (0.2)7 (0.3)16 (0.4)47 (0.4)
Recurrence, n (%) (antibiotic prescription associated with AOM diagnosis code between 15 and 30 days after index visit)153 (0.8)32 (0.4)107 (0.7)220 (0.8)512 (0.7)
 Recurrence with index antibiotic prescription (n = 61 612)141 (0.9)30 (0.4)99 (0.7)199 (0.8)469 (0.8)
 Recurrence with 5-day index antibiotic prescription (n = 3144)3 (0.5)1 (0.3)2 (0.3)8 (0.5)14 (0.4)
 Recurrence with 7-day index antibiotic prescription (n = 12 060)21 (1)4 (0.4)21 (0.8)69 (1)115 (1.0)
 Recurrence with 10-day index antibiotic prescription (n = 45 689)114 (0.9)23 (0.4)72 (0.7)121 (0.7)330 (0.7)
 Recurrence with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Recurrence with NO index antibiotic prescription (n = 11 586)12 (0.4)2 (0.1)8 (0.3)21 (0.5)43 (0.4)
Office visit for AOM within 30 days after index visit, n (%)838 (4)318 (4)692 (4)1523 (5)3371 (5)
ED or urgent-care visit for AOM within 30 days after index visit, n (%)1048 (5)382 (4)907 (6)1712 (6)4049 (6)
Hospitalized day of or within 30 days after index visit, n (%)68 (0.4)27 (0.3)58 (0.4)106 (0.4)259 (0.4)
C. difficile test performed, n (%)2 (0.01)0 (0)4 (0.03)5 (0.02)1 (0.02)
C. difficile test positive, n (%)0 (0)0 (0)0 (0)0 (0)0 (0)
Any adverse drug event, n (%)524 (3)166 (2)443 (3)755 (3)1888 (3)
 Diarrhea19 (0.1)2 (0.02)9 (0.1)20 (0.1)50 (0.1)
 Vomiting26 (0.1)7 (0.1)25 (0.2)38 (0.1)96 (0.1)
 Candidiasis4 (0.02)3 (0.04)7 (0.05)13 (0.05)27 (0.04)
 Noncandidal rash45 (0.2)15 (0.2)34 (0.2)48 (0.2)142 (0.2)
 Other and unspecified Allergy6 (0.03)2 (0.02)2 (0.01)5 (0.02)15 (0.02)
Mastoiditis, n (%)5 (0.03)1 (0.01)3 (0.02)7 (0.02)16 (0.02)
Table 4.

Clinical Outcomes

2019
n = 19 317
2020
n = 8954
2021
n = 15 754
2022
n = 29 173
Total
N = 73 198
Treatment failure, n (%) (antibiotic prescription associated with AOM diagnosis code between 3 and 14 days after index visit)116 (0.6)37 (0.4)87 (0.6)166 (0.6)406 (0.6)
 Treatment failure with index antibiotic prescription (n = 61 612)95 (0.6)34 (0.5)80 (0.6)150 (0.6)359 (0.6)
 Treatment failure with 5-day index antibiotic prescription (n = 3144)3 (0.5)3 (1.0)1 (0.2)14 (0.9)21 (0.7)
 Treatment failure with 7-day index antibiotic prescription (n = 12 060)13 (0.7)6 (0.6)20 (0.8)54 (0.8)93 (0.8)
 Treatment failure with 10-day index antibiotic prescription (n = 45 689)79 (0.6)23 (0.4)56 (0.6)79 (0.5)237 (0.5)
 Treatment failure with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Treatment failure with NO index antibiotic prescription (n = 11 586)21 (0.7)3 (0.2)7 (0.3)16 (0.4)47 (0.4)
Recurrence, n (%) (antibiotic prescription associated with AOM diagnosis code between 15 and 30 days after index visit)153 (0.8)32 (0.4)107 (0.7)220 (0.8)512 (0.7)
 Recurrence with index antibiotic prescription (n = 61 612)141 (0.9)30 (0.4)99 (0.7)199 (0.8)469 (0.8)
 Recurrence with 5-day index antibiotic prescription (n = 3144)3 (0.5)1 (0.3)2 (0.3)8 (0.5)14 (0.4)
 Recurrence with 7-day index antibiotic prescription (n = 12 060)21 (1)4 (0.4)21 (0.8)69 (1)115 (1.0)
 Recurrence with 10-day index antibiotic prescription (n = 45 689)114 (0.9)23 (0.4)72 (0.7)121 (0.7)330 (0.7)
 Recurrence with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Recurrence with NO index antibiotic prescription (n = 11 586)12 (0.4)2 (0.1)8 (0.3)21 (0.5)43 (0.4)
Office visit for AOM within 30 days after index visit, n (%)838 (4)318 (4)692 (4)1523 (5)3371 (5)
ED or urgent-care visit for AOM within 30 days after index visit, n (%)1048 (5)382 (4)907 (6)1712 (6)4049 (6)
Hospitalized day of or within 30 days after index visit, n (%)68 (0.4)27 (0.3)58 (0.4)106 (0.4)259 (0.4)
C. difficile test performed, n (%)2 (0.01)0 (0)4 (0.03)5 (0.02)1 (0.02)
C. difficile test positive, n (%)0 (0)0 (0)0 (0)0 (0)0 (0)
Any adverse drug event, n (%)524 (3)166 (2)443 (3)755 (3)1888 (3)
 Diarrhea19 (0.1)2 (0.02)9 (0.1)20 (0.1)50 (0.1)
 Vomiting26 (0.1)7 (0.1)25 (0.2)38 (0.1)96 (0.1)
 Candidiasis4 (0.02)3 (0.04)7 (0.05)13 (0.05)27 (0.04)
 Noncandidal rash45 (0.2)15 (0.2)34 (0.2)48 (0.2)142 (0.2)
 Other and unspecified Allergy6 (0.03)2 (0.02)2 (0.01)5 (0.02)15 (0.02)
Mastoiditis, n (%)5 (0.03)1 (0.01)3 (0.02)7 (0.02)16 (0.02)
2019
n = 19 317
2020
n = 8954
2021
n = 15 754
2022
n = 29 173
Total
N = 73 198
Treatment failure, n (%) (antibiotic prescription associated with AOM diagnosis code between 3 and 14 days after index visit)116 (0.6)37 (0.4)87 (0.6)166 (0.6)406 (0.6)
 Treatment failure with index antibiotic prescription (n = 61 612)95 (0.6)34 (0.5)80 (0.6)150 (0.6)359 (0.6)
 Treatment failure with 5-day index antibiotic prescription (n = 3144)3 (0.5)3 (1.0)1 (0.2)14 (0.9)21 (0.7)
 Treatment failure with 7-day index antibiotic prescription (n = 12 060)13 (0.7)6 (0.6)20 (0.8)54 (0.8)93 (0.8)
 Treatment failure with 10-day index antibiotic prescription (n = 45 689)79 (0.6)23 (0.4)56 (0.6)79 (0.5)237 (0.5)
 Treatment failure with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Treatment failure with NO index antibiotic prescription (n = 11 586)21 (0.7)3 (0.2)7 (0.3)16 (0.4)47 (0.4)
Recurrence, n (%) (antibiotic prescription associated with AOM diagnosis code between 15 and 30 days after index visit)153 (0.8)32 (0.4)107 (0.7)220 (0.8)512 (0.7)
 Recurrence with index antibiotic prescription (n = 61 612)141 (0.9)30 (0.4)99 (0.7)199 (0.8)469 (0.8)
 Recurrence with 5-day index antibiotic prescription (n = 3144)3 (0.5)1 (0.3)2 (0.3)8 (0.5)14 (0.4)
 Recurrence with 7-day index antibiotic prescription (n = 12 060)21 (1)4 (0.4)21 (0.8)69 (1)115 (1.0)
 Recurrence with 10-day index antibiotic prescription (n = 45 689)114 (0.9)23 (0.4)72 (0.7)121 (0.7)330 (0.7)
 Recurrence with 14-day index antibiotic prescription (n = 72)0 (0)0 (0)0 (0)0 (0)0 (0)
 Recurrence with NO index antibiotic prescription (n = 11 586)12 (0.4)2 (0.1)8 (0.3)21 (0.5)43 (0.4)
Office visit for AOM within 30 days after index visit, n (%)838 (4)318 (4)692 (4)1523 (5)3371 (5)
ED or urgent-care visit for AOM within 30 days after index visit, n (%)1048 (5)382 (4)907 (6)1712 (6)4049 (6)
Hospitalized day of or within 30 days after index visit, n (%)68 (0.4)27 (0.3)58 (0.4)106 (0.4)259 (0.4)
C. difficile test performed, n (%)2 (0.01)0 (0)4 (0.03)5 (0.02)1 (0.02)
C. difficile test positive, n (%)0 (0)0 (0)0 (0)0 (0)0 (0)
Any adverse drug event, n (%)524 (3)166 (2)443 (3)755 (3)1888 (3)
 Diarrhea19 (0.1)2 (0.02)9 (0.1)20 (0.1)50 (0.1)
 Vomiting26 (0.1)7 (0.1)25 (0.2)38 (0.1)96 (0.1)
 Candidiasis4 (0.02)3 (0.04)7 (0.05)13 (0.05)27 (0.04)
 Noncandidal rash45 (0.2)15 (0.2)34 (0.2)48 (0.2)142 (0.2)
 Other and unspecified Allergy6 (0.03)2 (0.02)2 (0.01)5 (0.02)15 (0.02)
Mastoiditis, n (%)5 (0.03)1 (0.01)3 (0.02)7 (0.02)16 (0.02)
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