کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4140719 1272266 2006 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Decline in Inappropriate Antibiotic Use Over a Decade by Pediatricians in a Tennessee Community
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Decline in Inappropriate Antibiotic Use Over a Decade by Pediatricians in a Tennessee Community
چکیده انگلیسی

ObjectivePublished data indicates that antibiotic use for pediatric respiratory tract infections has declined across the United States. We reviewed antibiotic use in 2 pediatrics practices in Memphis, Tennessee, to determine whether there has been a reduction in inappropriate antibiotic use in this region.MethodsRandomly selected charts in 7 offices of 2 practices were reviewed for respiratory tract infection visits during alternate years between 1992 and 2002. Antibiotics were considered inappropriate for viral respiratory tract and other viral syndromes, asthma, allergic rhinitis, and otitis media with effusion. Changes in inappropriate prescribing were evaluated by generalized estimating equations with year of visit as the explanatory variable and visits clustered by practice.ResultsThere were 1504 unique patient visits reviewed. The number of visits with an antibiotic prescription fell from 85% in 1992 to 67% in 2002. The likelihood of inappropriately prescribing an antibiotic declined between 1992 and 2002 (odds ratio 0.28, 95% confidence interval 0.20–0.38). Use of amoxicillin–clavulanic acid and azithromycin increased, and amoxicillin use decreased.ConclusionsThere has been a marked decline in inappropriate antibiotic use in this region with high prescribing rates. Pediatricians have increased their use of broad-spectrum antibiotic agents for respiratory tract infections. Continuing education of physicians regarding appropriate use should continue to maintain and improve on the gains achieved in the last decade.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Ambulatory Pediatrics - Volume 6, Issue 4, 1 July 2006, Pages 225–229
نویسندگان
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