Children with medical complexity show higher rates of outpatient antibiotic exposure
A new study from Boston Children’s Hospital found that annual prescription rates increased non-linearly as children’s underlying level of medical complexity increased, raising concerns about outpatient antibiotic exposure. Persistent use of antibiotics contributes to the increased likelihood of antibiotic-related complications, as well as the development of antibiotic resistance. Children with medical complexity (CMC) are more vulnerable to infections, but knowledge of the impact of frequent antibiotic use on this group is limited. Using outpatient antibiotic prescription claims data from the multi-state MarketScan Medicaid Database, Boston Children’s Hospital observed that children with three or more complex chronic conditions were more likely to fill prescriptions for broad-spectrum antibiotics with less favorable safety profiles. Children with three or more complex chronic conditions have the highest annual prescription rates of any population group (adult or pediatric). The study examined the outpatient prescription rates of over 2 million children Children ages 0-18 years continuously enrolled in Medicaid in 2023 were included and categorised into five mutually exclusive categories of underlying medical complexity: healthy (no chronic conditions), non-complex chronic condition (NC-C), …








