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COVID-19

Antibiotic Utilization for Respiratory Conditions (AXR)

HEDIS Measure

Antibiotic Utilization for Respiratory Conditions (AXR)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative

Measure Description

The percentage of episodes for members 3 months of age and older with a diagnosis of a respiratory condition that resulted in an antibiotic dispensing event.

Numerator Compliance

Dispensed prescription for an antibiotic medication from the AXR Antibiotic Medications List on or 3 days after the Episode Date.

Best Practices

  • Reference the Centers for Disease Control and Prevention “Be Antibiotics Aware: Smart Use, Best Care”: cdc.gov/patientsafety/features/be-antibiotics-aware.html

Antibiotic Medications

Description Prescriptions
Absorbable sulfonamides Sulfadiazine, Sulfamethoxazole-trimethoprim
Aminoglycoside Amikacin, Gentamicin, Streptomycin, Tobramycin
Amoxicillin/clavulanate Amoxicillin-clavulanate
Azithromycin and clarithromycin Azithromycin, Clarithromycin
Cephalosporin (first generation) Cefadroxil, Cefazolin, Cephalexin
Cephalosporin (second, third, fourth generation) Cefaclor, Cefdinir, Cefditoren, Cefepime, Cefixime,Cefotaxime, Cefotetan, Cefoxitin, Cefpodoxime, Cefprozil, Ceftriaxone Cefuroxime, Ceftazidime, Ceftibuten
Clindamycin Clindamycin
Ketolide Telithromycin
Lincosamide (other than clindamycin) Lincomycin
Macrolide (other than azithromycin and clarithromycin) Erythromycin
Penicillin (other than amoxicillin/ clavulanate) Ampicillin, Ampicillin-sulbactam, Amoxicillin, Dicloxacillin, Nafcillin, Oxacillin, Penicillin G benzathine, Penicillin G benzathine-procaine, Penicillin G potassium, Penicillin G procaine, Penicillin G sodium, Penicillin V potassium, Piperacillin-tazobactam
Tetracyclines Doxycycline, Minocycline,Tetracycline
Quinolones Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin, Ofloxacin
Miscellaneous antibiotics Aztreonam, Chloramphenicol, Dalfopristin-quinupristin, Daptomycin, Fosfomycin, Linezolid, Metronidazole, Nitrofurantoin, Nitrofurantoin macrocrystals- monohydrate, Rifampin, Telavancin, Trimethoprim, Vancomycin