Antibiotic prescribing for Canadian preschool children: evidence of overprescribing for viral respiratory infections.
Identifieur interne : 000B40 ( Main/Exploration ); précédent : 000B39; suivant : 000B41Antibiotic prescribing for Canadian preschool children: evidence of overprescribing for viral respiratory infections.
Auteurs : E E Wang [Canada] ; T R Einarson ; J D Kellner ; J M ConlySource :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1058-4838 ] ; 1999.
Descripteurs français
- KwdFr :
- Antibactériens (usage thérapeutique), Antibactériens (économie), Antiviraux (usage thérapeutique), Antiviraux (économie), Canada (MeSH), Coûts des médicaments (MeSH), Enfant d'âge préscolaire (MeSH), Humains (MeSH), Infections de l'appareil respiratoire (traitement médicamenteux), Infections de l'appareil respiratoire (virologie), Maladies virales (traitement médicamenteux), Ordonnances médicamenteuses (normes), Ordonnances médicamenteuses (économie), Utilisation médicament (MeSH).
- MESH :
- normes : Ordonnances médicamenteuses.
- traitement médicamenteux : Infections de l'appareil respiratoire, Maladies virales.
- usage thérapeutique : Antibactériens, Antiviraux.
- virologie : Infections de l'appareil respiratoire.
- économie : Antibactériens, Antiviraux, Ordonnances médicamenteuses.
- Canada, Coûts des médicaments, Enfant d'âge préscolaire, Humains, Utilisation médicament.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Anti-Bacterial Agents (economics), Anti-Bacterial Agents (therapeutic use), Antiviral Agents (economics), Antiviral Agents (therapeutic use), Canada (MeSH), Child, Preschool (MeSH), Drug Costs (MeSH), Drug Prescriptions (economics), Drug Prescriptions (standards), Drug Utilization (MeSH), Humans (MeSH), Respiratory Tract Infections (drug therapy), Respiratory Tract Infections (virology), Virus Diseases (drug therapy).
- MESH :
- chemical , economics : Anti-Bacterial Agents, Antiviral Agents.
- chemical , therapeutic use : Anti-Bacterial Agents, Antiviral Agents.
- geographic : Canada.
- drug therapy : Respiratory Tract Infections, Virus Diseases.
- economics : Drug Prescriptions.
- standards : Drug Prescriptions.
- virology : Respiratory Tract Infections.
- Child, Preschool, Drug Costs, Drug Utilization, Humans.
Abstract
Antibiotic resistance is associated with prior receipt of antibiotics. An analysis of linked computerized databases for physician visits and antibiotic prescriptions was used to examine antibiotic prescribing for different respiratory infections in preschool children in Canada. In 1995, 64% of 61,165 children aged <5 years made 140,892 visits (mean, 3.6 visits per child) for respiratory infections; 74% of children who made visits received antibiotic prescriptions. Antibiotics were prescribed to 49% of children with upper respiratory tract infection, 18% with nasopharyngitis, 78% with pharyngitis or tonsillitis, 32% with serous otitis media, 80% with acute otitis media, 61% with sinusitis, 44% with acute laryngitis or tracheitis, and 24% with influenza. Acute otitis media accounted for 33% of all visits and 39% of all antibiotic prescriptions. The estimated Canadian-dollar cost of overprescribing was $423,693, or 49% of the total cost of antibiotics ($859,893) used in this group. This population-based study confirms antibiotic overprescribing in Canada.
DOI: 10.1086/520145
PubMed: 10433579
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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uniqKey="Wang E" first="E E" last="Wang">E E Wang</name><affiliation wicri:level="4"><nlm:affiliation>Department of Pediatrics, Faculty of Pharmacy, University of Toronto, Ontario, Canada. ewang@ca.pmc_vacc.com</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pediatrics, Faculty of Pharmacy, University of Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Einarson, T R" sort="Einarson, T R" uniqKey="Einarson T" first="T R" last="Einarson">T R Einarson</name></author><author><name sortKey="Kellner, J D" sort="Kellner, J D" uniqKey="Kellner J" first="J D" last="Kellner">J D Kellner</name></author><author><name sortKey="Conly, J M" sort="Conly, J M" uniqKey="Conly J" first="J M" last="Conly">J M Conly</name></author></analytic><series><title level="j">Clinical 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An analysis of linked computerized databases for physician visits and antibiotic prescriptions was used to examine antibiotic prescribing for different respiratory infections in preschool children in Canada. In 1995, 64% of 61,165 children aged <5 years made 140,892 visits (mean, 3.6 visits per child) for respiratory infections; 74% of children who made visits received antibiotic prescriptions. Antibiotics were prescribed to 49% of children with upper respiratory tract infection, 18% with nasopharyngitis, 78% with pharyngitis or tonsillitis, 32% with serous otitis media, 80% with acute otitis media, 61% with sinusitis, 44% with acute laryngitis or tracheitis, and 24% with influenza. Acute otitis media accounted for 33% of all visits and 39% of all antibiotic prescriptions. The estimated Canadian-dollar cost of overprescribing was $423,693, or 49% of the total cost of antibiotics ($859,893) used in this group. This population-based study confirms antibiotic overprescribing in Canada.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10433579</PMID><DateCompleted><Year>1999</Year><Month>09</Month><Day>16</Day></DateCompleted><DateRevised><Year>2008</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1058-4838</ISSN><JournalIssue CitedMedium="Print"><Volume>29</Volume><Issue>1</Issue><PubDate><Year>1999</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin. Infect. 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Antibiotics were prescribed to 49% of children with upper respiratory tract infection, 18% with nasopharyngitis, 78% with pharyngitis or tonsillitis, 32% with serous otitis media, 80% with acute otitis media, 61% with sinusitis, 44% with acute laryngitis or tracheitis, and 24% with influenza. Acute otitis media accounted for 33% of all visits and 39% of all antibiotic prescriptions. The estimated Canadian-dollar cost of overprescribing was $423,693, or 49% of the total cost of antibiotics ($859,893) used in this group. This population-based study confirms antibiotic overprescribing in Canada.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>E E</ForeName><Initials>EE</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Faculty of Pharmacy, University of Toronto, Ontario, Canada. ewang@ca.pmc_vacc.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Einarson</LastName><ForeName>T R</ForeName><Initials>TR</Initials></Author><Author ValidYN="Y"><LastName>Kellner</LastName><ForeName>J D</ForeName><Initials>JD</Initials></Author><Author ValidYN="Y"><LastName>Conly</LastName><ForeName>J M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000998">Antiviral Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000998" MajorTopicYN="N">Antiviral Agents</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016527" MajorTopicYN="N">Drug Costs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011307" MajorTopicYN="N">Drug Prescriptions</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004363" MajorTopicYN="N">Drug Utilization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014777" MajorTopicYN="N">Virus Diseases</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>8</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>8</Month><Day>5</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>8</Month><Day>5</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10433579</ArticleId><ArticleId IdType="doi">10.1086/520145</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><noCountry><name sortKey="Conly, J M" sort="Conly, J M" uniqKey="Conly J" first="J M" last="Conly">J M Conly</name><name sortKey="Einarson, T R" sort="Einarson, T R" uniqKey="Einarson T" first="T R" last="Einarson">T R Einarson</name><name sortKey="Kellner, J D" sort="Kellner, J D" uniqKey="Kellner J" first="J D" last="Kellner">J D Kellner</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="Wang, E E" sort="Wang, E E" uniqKey="Wang E" first="E E" last="Wang">E E Wang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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