Författare/Namn
Titel A population-based study of different antibiotic prescribing in different areas
Anmärkning: Innehållsbeskrivning, sammanfattning Background Respiratory tract infections are the most common reason for antibiotic prescription in Sweden as in other countries. The prescription rates vary markedly in different countries, counties and municipalities. The reasons for these variations in prescription rate are not obvious. Aim To find possible explanations for different antibiotic prescription rates in children. Design of study Prospective population based study. Setting All child health clinics in four municipalities in Sweden which, according to official statistics, had high antibiotic prescription rates, and all child health clinics in three municipalities which had low antibiotic prescription rates. Method During one month, parents recorded all infectious symptoms, physician consultations and antibiotic treatments, from 848 18-month-old children in a log book. The parents also answered a questionnaire about socioeconomic factors and concern about infectious diseases. Results Antibiotics were prescribed to 11.6% of the children in the high prescription area and 4.7% in the low prescription area during the study month (crude odds ratio [OR] = 2.67, 95% confidence interval [CI] = 1.45 to 4.93). After multiple logistic regression analyses taking account of socioeconomic factors, concern about infectious illness, number of symptom days and physician consultations, differences in antibiotic prescription rates remained (adjusted OR = 2.61, 95% CI = 1.14 to 5.98). The variable that impacted most on antibiotic prescription rates, although it was not relevant to the geographical differences, was a high level of concern about infectious illness in the family. Conclusions The differences in antibiotic prescription rates could not be explained by socioeconomic factors, concern about infectious illness, number of symptom days and physician consultations. The differences may be attributable to different prescription behaviour.
Ämne
Medarbetare Andre, Malin Författare/medförfattare Håkansson, Anders Författare/medförfattare Molstad, Sigvard Författare/medförfattare Rodhe, Nils Författare/medförfattare Petersson, Christer Författare/medförfattare Andre, Malin, Uppsala universitet, Centrum för klinisk forskning Dalarna Författare/medförfattare Mölstad, Sigvard Författare/medförfattare Hakansson, Anders Författare/medförfattare
Institutionsnamn
Värdpublikation British Journal of General Practice ISSN 0960-1643 56:530, s. 680-685 56:530<680-685
Elektronisk adress och åtkomst (URI) Fulltext, begränsad tillgänglighet http://lup.lub.lu.se/record/387142 Till lärosätets (lu) databas http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-13915 Till lärosätets (uu) databas http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-48065 Till lärosätets (liu) databas
Antal i kö:
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*1001 $aHedin, Katarina$4aut$0(SwePub:)
*24510$aA population-based study of different antibiotic prescribing in different areas
*5203 $8eng$aBackground Respiratory tract infections are the most common reason for antibiotic prescription in Sweden as in other countries. The prescription rates vary markedly in different countries, counties and municipalities. The reasons for these variations in prescription rate are not obvious. Aim To find possible explanations for different antibiotic prescription rates in children. Design of study Prospective population based study. Setting All child health clinics in four municipalities in Sweden which, according to official statistics, had high antibiotic prescription rates, and all child health clinics in three municipalities which had low antibiotic prescription rates. Method During one month, parents recorded all infectious symptoms, physician consultations and antibiotic treatments, from 848 18-month-old children in a log book. The parents also answered a questionnaire about socioeconomic factors and concern about infectious diseases. Results Antibiotics were prescribed to 11.6% of the children in the high prescription area and 4.7% in the low prescription area during the study month (crude odds ratio [OR] = 2.67, 95% confidence interval [CI] = 1.45 to 4.93). After multiple logistic regression analyses taking account of socioeconomic factors, concern about infectious illness, number of symptom days and physician consultations, differences in antibiotic prescription rates remained (adjusted OR = 2.61, 95% CI = 1.14 to 5.98). The variable that impacted most on antibiotic prescription rates, although it was not relevant to the geographical differences, was a high level of concern about infectious illness in the family. Conclusions The differences in antibiotic prescription rates could not be explained by socioeconomic factors, concern about infectious illness, number of symptom days and physician consultations. The differences may be attributable to different prescription behaviour.
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*7102 $aLinköpings universitet.$bInstitutionen för medicin och hälsa.$bAllmänmedicin.$0(SwePub:liu)2277
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