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Prescribing Patterns and Variations of Antibiotic Use for Children in Ambulatory Care: A Nationwide Study.
Galistiani, Githa Fungie; Benko, Ria; Babarczy, Balázs; Papp, Renáta; Hajdu, Ágnes; Szabó, Éva Henrietta; Viola, Réka; Papfalvi, Erika; Visnyovszki, Ádám; Matuz, Mária.
Afiliación
  • Galistiani GF; Department of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, 6725 Szeged, Hungary.
  • Benko R; Faculty of Pharmacy, Universitas Muhammadiyah Purwokerto, Jl. KH. Ahmad Dahlan, Purwokerto 53182, Indonesia.
  • Babarczy B; Department of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, 6725 Szeged, Hungary.
  • Papp R; Central Pharmacy Department, Albert Szent Györgyi Medical School, University of Szeged, 6725 Szeged, Hungary.
  • Hajdu Á; Emergency Department, Albert Szent Györgyi Medical School, University of Szeged, 6725 Szeged, Hungary.
  • Szabó ÉH; National Public Health Center, 1097 Budapest, Hungary.
  • Viola R; Office for the Vice-Rector for Science and Innovations, Semmelweis University, 1085 Budapest, Hungary.
  • Papfalvi E; Department of Primary Health Care, University of Pécs, 7623 Pécs, Hungary.
  • Visnyovszki Á; National Public Health Center, 1097 Budapest, Hungary.
  • Matuz M; Department of Paediatrics and Paediatric Health Centre, Albert Szent Györgyi Medical School, University of Szeged, 6720 Szeged, Hungary.
Antibiotics (Basel) ; 11(2)2022 Jan 31.
Article en En | MEDLINE | ID: mdl-35203792
The aim of this study was to analyse characteristics of paediatric antibiotic use in ambulatory care in Hungary. Data on antibiotics for systemic use dispensed to children (0-19 years) were retrieved from the National Health Insurance Fund. Prescribers were categorised by age and specialty. Antibiotic use was expressed as the number of prescriptions/100 children/year or month. For quality assessment, the broad per narrow (B/N) ratio was calculated as defined by the European Surveillance of Antimicrobial Consumption (ESAC) network. Paediatric antibiotic exposure was 108.28 antibiotic prescriptions/100 children/year and was the highest in the age group 0-4 years. Sex differences had heterogenous patterns across age groups. The majority of prescriptions were issued by primary care paediatricians (PCP). The use of broad-spectrum agents dominated, co-amoxiclav alone being responsible for almost one-third of paediatric antibiotic use. Elderly physicians tended to prescribe less broad-spectrum agents. Seasonal variation was found to be substantial: antibiotic prescribing peaked in January with 16.6 prescriptions/100 children/month, while it was the lowest in July with 4 prescriptions/100 children/month. Regional variation was prominent with an increasing west to east gradient (max: 175.6, min: 63.8 prescriptions/100 children/year). The identified characteristics of paediatric antibiotic use suggest that prescribing practice should be improved.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Antibiotics (Basel) Año: 2022 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Antibiotics (Basel) Año: 2022 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Suiza