High burden of infectious disease and antibiotic use in early life in Australian Aboriginal communities
| Autor: | Ross M. Andrews, Steven Y. C. Tong, Michael J. Lydeamore, Therese Kearns, Jodie McVernon, Will Cuningham, Jonathan R. Carapetis, Roslyn Gundjirryirr Dhurrkay, Patricia T. Campbell, Danielle Clucas |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Rural Population medicine.medical_specialty Impetigo Native Hawaiian or Other Pacific Islander 030309 nutrition & dietetics medicine.drug_class Population Antibiotics Communicable Diseases Skin Diseases 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Health Services Indigenous Humans 030212 general & internal medicine Medical prescription Practice Patterns Physicians' education Child Respiratory Tract Infections 0303 health sciences education.field_of_study Respiratory tract infections Under-five Primary Health Care business.industry Public health Public Health Environmental and Occupational Health Australia medicine.disease Drug Utilization Anti-Bacterial Agents Infectious disease (medical specialty) Child Preschool Female business |
| Zdroj: | Australian and New Zealand journal of public health. 43(2) |
| ISSN: | 1753-6405 |
| Popis: | Objective To quantify the childhood infectious disease burden and antibiotic use in the Northern Territory's East Arnhem region through synthesis and analysis of historical data resources. Methods We combined primary health clinic data originally reported in three separate publications stemming from the East Arnhem Healthy Skin Project (Jan-01 to Sep-07). Common statistical techniques were used to explore the prevalence of infectious conditions and the seasonality of infections, and to measure rates of antibiotic use. Results There was a high monthly prevalence of respiratory (mean: 32% [95% confidence interval (CI): 20%, 34%]) and skin (mean: 20% [95%CI: 19%, 22%]) infectious syndromes, with upper respiratory tract infections (mean: 29% [95%CI: 27%, 31%]) and skin sores (mean: 15% [95%CI: 14%, 17%]) the most common conditions. Antibiotics were frequently prescribed with 95% (95%CI: 91%, 97%) of children having received at least one antibiotic prescription by their first birthday, and 47% having received six antibiotic prescriptions; skin sores being a key driver. Conclusions Early life infections drive high antibiotic prescribing rates in remote Aboriginal communities. Implications for public health: Eliminating skin disease could reduce antibiotic use by almost 20% in children under five years of age in this population. |
| Databáze: | OpenAIRE |
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