| Autor: |
Teresa Jackowska, Grażyna Kraj, Agnieszka Czubik-Przybyła, Maria Krajewska, Anna Mołdoch-Łukasik, Aneta Kot, Marek Kulus, Joanna Peradzyńska, Katarzyna Krenke, Krystian Wołoszyn, Julita Chądzyńska |
| Rok vydání: |
2017 |
| Předmět: |
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| Zdroj: |
Paediatric Respiratory Infection and Immunology. |
| Popis: |
Background: In 2010 in Poland was published Recommendations for Management of Respiratory Tract Infections (RMRTI) which support medical practitioners in every aspect of management of community acquired pneumonia (CAP). Objective: To analyze the impact of RMRTI on antibiotic prescribing in children with CAP. Material and Methods: We assessed prehospital and hospital antibiotic use in CAP in 4 pediatric hospitals before (2008-2009) and after (2011-2012) RMRTI publication. Results: A group of 2359 children with CAP was enrolled. In outpatients the most common first-line antibiotics were: second generation cephalosporins (CEF), co-amoxiclav and macrolides. There were no differences between pre-recommendation group (PreRG) (n=1081) and post-recommendation group (PostRG) (n=1278). In hospitalized children significant change in first-line therapy was observed in PreRG and PostRG periods: CEF (57.1% vs 16.5% p Conclusion: The study showed that publishing recommendations is not a sufficient form of education. Despite recommendations amoxicillin is still rarely prescribed in CAP in children. Other forms of active teaching are needed to convince clinicians to adhere to the guidelines. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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