title: Anthrax attacks and practice patterns: a learning opportunity for health care systems.
abstract: Sudden and unexpected events directly influencing clinical practice patterns are uncommon. After the first report of bioterrorism-related anthrax, the authors studied retrospectively 13 months of anthrax-related antibiotic prescription rates for Veterans Affairs outpatients in one urban area where no cases of anthrax were reported. During the 26 days after the first anthrax report, the rate of acute respiratory illnesses treated with fluoroquinolones was 62.8 per 10,000 outpatient visits, an increase of 41 percent over the rate of 44.4 observed approximately one year earlier (p = 0.058). Acute sociopolitical events such as bioterrorist attacks present a unique opportunity to investigate changes in health care.
authors.affiliation: Birmingham VAMC, Birmingham, Alabama, USA.
authors.forename: Jessica W
authors.initials: JW
authors.lastname: Jones
authors.forename: Catarina I
authors.initials: CI
authors.lastname: Kiefe
mesh_terms: D000208:Acute Disease; D000407:Alabama; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D000881:Anthrax / Q000517:prevention & control*; D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data*; D023482:Bioterrorism; D016303:Clinical Pharmacy Information Systems; D004318:Doxycycline / Q000008:administration & dosage; D004363:Drug Utilization / Q000706:statistics & numerical data*; D024841:Fluoroquinolones / Q000008:administration & dosage; D006301:Health Services Needs and Demand; D006787:Hospitals, Veterans / Q000706:statistics & numerical data; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000188:drug therapy; D015242:Ofloxacin / Q000008:administration & dosage; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D014481:United States; D014493:United States Department of Veterans Affairs
chemical_list: D024841:Fluoroquinolones; D015242:Ofloxacin; D004318:Doxycycline