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COVID-19

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

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
Ketolides Telithromycin
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