Appropriate Treatment for Upper Respiratory Infection (URI)
HEDIS Measure
Appropriate Treatment for Upper Respiratory Infection (URI)
Line of business: Commercial Medicaid Medicare
Data Collection Method: Administrative (Claims)
Measure Description
The percentage of episodes for members 3 months of age and older with a diagnosis of upper respiratory infection (URI) that did not result in an antibiotic dispensing event.
*Inverted measure
Numerator Compliance
Dispensed prescription for an antibiotic medication from the AAB 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/feastures/be-antibotics-aware.html
Antibiotic Medications
| Description | Prescriptions |
|---|---|
| Aminoglycosides | Amikacin, Gentamicin, Streptomycin, Tobramycin |
| Aminopenicillins | Amoxicillin, Ampicillin |
| Beta-lactamase inhibitors | Amoxicillin-clavulanate, Ampicillin-sulbactam, Piperacillin-tazobactam |
| First-generation cephalosporins | Cefadroxil Cefazolin, Cephalexin |
| Fourth-generation cephalosporins | Cefepime |
| Lincomycin derivatives | Clindamycin, Lincomycin |
| Macrolides | Azithromycin, Clarithromycin, Erythromycin |
| Miscellaneous antibiotics | Aztreonam, Chloramphenicol, Dalfopristin-quinupristin, Daptomycin, Linezolid, Metronidazole, Vancomycin |
| Natural penicillins | Penicillin G benzathine-procaine, Penicillin G potassium, Penicillin G procaine, Penicillin G sodium, Penicillin V potassium, Penicillin G benzathine |
| Penicillinase resistant penicillins | Dicloxacillin, Nafcillin, Oxacillin |
| Quinolones | Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin, Ofloxacin |
| Rifamycin derivatives | Rifampin |
| Second-generation cephalosporin | Cefaclor, Cefotetan, Cefoxitin, Cefprozil, Cefuroxime |
| Sulfonamides | Sulfadiazine, Sulfamethoxazole-trimethoprim |
| Tetracyclines | Doxycycline, Minocycline, Tetracycline |
| Third-generation cephalosporins | Cefdinir, Cefditoren, Cefixime, Cefotaxime, Cefpodoxime, Ceftazidime, Ceftibuten, Ceftriaxone |
| Urinary anti-infectives | Fosfomycin, Nitrofurantoin, Nitrofurantoin macrocrystals-monohydrate, Trimethoprim |