Antibiotic prescribing for upper respiratory tract infection: The importance of diagnostic uncertainty

Arnold, Sandra R.; To, Teresa; McIsaac, Warren J.; Wang, Elaine E. L.

doi:10.1016/j.jpeds.2004.09.020

Cited by 40 publications

(41 citation statements)

References 31 publications

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“…The above conditions are known to be mostly viral [24], requiring no antibiotic treatment. Some studies show that even the physicians could be wrong and prescribe antibiotics for such conditions, while considering minor diagnostic criteria [25,26]. They would thus contribute in a way to antibiotic abuse.…”

Section: O R I G I N a L P A P E R S Ijomeh 2007;20(4)mentioning

confidence: 99%

Self-Medication with Antibiotics in Jordanian Population

Al‐Azzam

Al‐Husein²,

Alzoubi³

et al. 2007

International Journal of Occupational Medicine and Environmental Health

208

223

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Objectives: A survey was conducted to estimate the prevalence of self-medication with antibiotics in Jordan and evaluate the factors associated with antibiotic misuse. Methods: Validated questionnaire was used to collect data from a sample of 1943 households (9281 persons) selected from among different cities in Jordan. Results: 842 (39.5%) of 2133 antibiotic users identified via the survey had used antibiotics without a prescription within a one-month study period. Self-medication with antibiotics was found to be significantly associated with age, income, and level of education. The main reason for selfmedication as reported by the participants was their previous experience on the efficacy of treatment. The main sources of antibiotics were the previously prescribed pharmaceuticals stored in the household and those purchased in pharmacies. Conclusion:The prevalence of self-medication with antibiotics in Jordan is alarmingly high. Given the growing global resistance to antibiotics and the documented health problems related to their inappropriate use, our findings may have major public health policy implications in Jordan.

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Section: O R I G I N a L P A P E R S Ijomeh 2007;20(4)mentioning

confidence: 99%

Self-Medication with Antibiotics in Jordanian Population

Al‐Azzam

Al‐Husein²,

Alzoubi³

et al. 2007

International Journal of Occupational Medicine and Environmental Health

208

223

View full text Add to dashboard Cite

show abstract

“…4 Diagnostic uncertainty often leads to increased inappropriate antibiotic prescribing. 5,6 C-reactive protein (CRP) is an acknowledged biomarker to diagnose bacterial infection. The level of CRP can be measured by point-of-care (POC) testing, which is easy to perform in general practice.…”

Section: Introductionmentioning

confidence: 99%

Association between point-of-care CRP testing and antibiotic prescribing in respiratory tract infections: a systematic review and meta-analysis of primary care studies

Huang¹,

Chen²,

Wu³

et al. 2013

Br J Gen Pract

105

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“…A possible explanation for this finding is that infants in dispensaries are more likely to originate from lower socioeconomic status families, which may increase the parent demand for antibiotics and may contribute to inappropriate prescribing [5,31]. Another reason might be that pediatricians with a larger number of patients in their care and a shorter period of examination time tend to prescribe antibiotics more often than in private clinics [2,20]. Thus, families in dispensaries will not receive adequate support and information regarding antibiotics prescriptions for viral infections.…”

Section: Discussionmentioning

confidence: 99%

“…While pediatricians are less likely to prescribe antibiotics for either upper respiratory tract infection (URTI) or bronchitis than family or general practitioners, they account for approximately half of all prescriptions [2,21,27,28,34]. Children aged 0 to 4 years with URTI and bronchitis account for 53% of the total antibiotics burden in pediatric populations [28].…”

Section: Introductionmentioning

confidence: 99%