Recent trends in antibiotic prescriptions for acute respiratory tract infections in pediatric ambulatory care in Taiwan, 2000-2009: A nationwide population-based study

Autor: Lo Yi Chang, Chun-Jen Chen, Ming Luen Lee, Wen Jue Soong, Ching Yi Cho, Keh Gong Wu, Chien Lun Hsu, Mei Jy Jeng, Yu Sheng Lee
Rok vydání: 2014
Předmět:
National Health Insurance Research Database
Microbiology (medical)
Male
Pediatrics
medicine.medical_specialty
Adolescent
Databases
Factual
medicine.drug_class
Antibiotics
Psychological intervention
Taiwan
antibiotics
03 medical and health sciences
ambulatory visits
0302 clinical medicine
Antibiotic resistance
children
Ambulatory care
030225 pediatrics
Immunology and Microbiology(all)
Drug Resistance
Bacterial
medicine
Ambulatory Care
Immunology and Allergy
Humans
030212 general & internal medicine
Medical prescription
Practice Patterns
Physicians'
Child
Acute respiratory tract infection
Respiratory Tract Infections
General Immunology and Microbiology
Respiratory tract infections
business.industry
Infant
General Medicine
acute respiratory tract infection
Drug Utilization
Anti-Bacterial Agents
Infectious Diseases
Child
Preschool
Emergency medicine
Ambulatory
Female
Seasons
business
Zdroj: Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi. 49(4)
ISSN: 1995-9133
Popis: Background Antibiotic resistance is a global problem, and the inappropriate overuse of antibiotics is the major cause. Among children seeking medical help, acute respiratory tract infections (ARTIs) are the most common tentative diagnosis made by physicians and the leading condition for which antibiotics are prescribed. This study aimed to examine the trends of prescribing antibiotics in pediatric ambulatory care in Taiwan over a 10-year period. Methods Children younger than 18 years old and being diagnosed as having ARTIs [International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 460, 465, and 466] during ambulatory visits from 2000 to 2009 were retrieved from the systematic random sampling datasets of the National Health Insurance Research Database (NHIRD) in Taiwan. The annual and monthly case numbers were recorded and the children's demographic characteristics, including sex, age, seasonality, location, level of medical institution, physician specialty, and their ambulatory prescriptions of antibiotics were collected and analyzed. Results Among 565,065 enrolled ambulatory children, 39,324 were prescribed antibiotics. The average antibiotics prescription rate was 7.0% during the 10-year period. There were marked descending trends in case numbers and antibiotic dispensing rates from 2000 to 2009. Female patients, elder ages (≥6 years old), summer and autumn, middle and southern areas of Taiwan, medical centers and regional hospitals, and physicians of pediatric specialty were associated with significantly lower antibiotic dispensing rates than other conditions ( p Conclusion The 10-year antibiotics prescription rate in ambulatory children with ARTIs was 7.0% and it decreased gradually from 2000 to 2009 in Taiwan. Through understanding the annual trends in antibiotic prescriptions, it may be possible to design interventions to improve the judicious use of antibiotics in children.
Databáze: OpenAIRE
Externí odkaz: