Utilization of Non-Guideline Concordant Antibiotic Treatment Following Acute Otitis Media in Children in the United States: Sunburst Diagrams

Inferential Design, LLC, Durham, NC, USA

Department of Pediatrics, Denver Health Medical Center, Denver, Colorado.
Office of Research, Denver Health Medical Center, Denver, Colorado.
Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.

Department of Pediatrics, School of Medicine, Washington University, St. Louis, MO, USA

Department of Medicine, School of Medicine, Washington University, St. Louis, MO, USA

Department of Medicine, School of Medicine, Washington University, St. Louis, MO, USA

Department of Medicine, School of Medicine, Washington University, St. Louis, MO, USA

Department of Medicine, School of Medicine, Washington University, St. Louis, MO, USA
Department of Surgery, School of Medicine, Washington University, St. Louis, MO, USA

Figure 2.

Sunburst diagrams of longitudinal patterns of within-person antibiotic treatment for otitis media by agent and age group among A) commercially-insured children and B) Medicaid-insured children, 365 days of follow-up. Each concentric circle of the sunburst diagram illustrates the proportion of antibiotic agent receipt. The innermost concentric circle displays the distribution for the index antibiotic. Each subsequent circle displays the distribution for each subsequent antibiotic dispensing. Other agents included cefixime, cefpodoxime, ciprofloxacin, clindamycin, and levofloxacin, as well as multiple prescriptions for different agents on the same date.

(A) Commercial insurance

Less than 2 years

Legend

2 to 5 years

Legend

Greater than or equal to 6 years

Legend

(B) Medicaid insurance

Less than 2 years

Legend

2 to 5 years

Legend

Greater than or equal to 6 years

Legend

Figure 4.

Sunburst diagrams of longitudinal patterns of within-person antibiotic treatment for otitis media by treatment duration and age group among A) commercially-insured children and B) Medicaid-insured children, 365 days of follow-up. Children prescribed azithromycin were excluded from this analysis. Each concentric circle of the sunburst diagram illustrates the proportion of antibiotic treatment duration. The innermost concentric circle displays the distribution for the index antibiotic. Each subsequent circle displays the distribution for each subsequent antibiotic dispensing.

(A) Commercial insurance

Less than 2 years

Legend

2 to 5 years

Legend

Greater than or equal to 6 years

Legend

(B) Medicaid insurance

Less than 2 years

Legend

2 to 5 years

Legend

Greater than or equal to 6 years

Legend