Back-up antibiotic prescriptions could reduce unnecessary antibiotic use in rhinosinusitis

Martin, Corey L

doi:10.1016/s0895-4356(03)00351-2

Cited by 3 publications

(3 citation statements)

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“…The large amount of healthcare use for self-limited acute RTIs from this study and the high antibiotics prescription rates for attendees with RTIs from other studies in China point to a clear need for strategies to contain the service burden and other related adverse effects. Such strategies may include (a) promoting health literacy with respect to the burden of RTIs; (b) encouraging vacuum treatment or backup antibiotics prescription (Martin et al, 2004); (c) enacting negative lists (eg, no intravenous transfusion for RTIs at primary care settings). In addition, the study identifies that age, type of residence, employment, medical insurance, annual food expenditure, and distance to medical facilities are factors affecting experience of and responses toward RTIs.…”

Section: What This Study Adds To the Fieldmentioning

confidence: 99%

Health service utilization following symptomatic respiratory tract infections and influencing factors among urban and rural residents in Anhui, China

Shi-yu

Dong

Zhou

et al. 2019

Prim Health Care Res Dev

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Aim: This study seeks to identify healthcare utilization patterns following symptomatic respiratory tract infections (RTIs) and the variables that may influence these patterns. Background: RTIs are responsible for the bulk of the primary healthcare burden worldwide. Yet, the use of health services for RTIs displays great discrepancies between populations. This research examines the influence of social demographics, economic factors, and accessibility on healthcare utilization following RTIs. Methods: Structured interviews were administered by trained physicians at the households of informants selected by cluster randomization. Descriptive and multivariate binary logistic regression analysis was performed to assess healthcare utilization and associated independent variables. Findings: A total of 60 678 informants completed the interviews. Of the 2.9% informants exhibiting upper RTIs, 69.5–73.9% sought clinical care. Healthcare utilization rates for common cold, influenza, nine acute upper RTIs, and overall RTIs demonstrate statistically significant associations with the variables of age, type of residence, employment, medical insurance, annual food expenditure, distance to medical facilities, and others. The odds ratios for healthcare utilization rates varied substantially, ranging from 0.026 to 9.364. More than 69% of informants with RTIs sought clinical interventions. These findings signify a marked issue with the large amount of healthcare for self-limited RTIs.

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Section: What This Study Adds To the Fieldmentioning

confidence: 99%

Health service utilization following symptomatic respiratory tract infections and influencing factors among urban and rural residents in Anhui, China

Shi-yu

Dong

Zhou

et al. 2019

Prim Health Care Res Dev

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“…It is critically important that GPs keep their patients informed properly when they decide to put them on a wait-and-see prescription. Delayed prescribing has the potential to reduce unnecessary use of antibiotics in sinusitis, 27 but further research is required to explore the effect of delayed antibiotics on the clinical outcome of sinusitis.…”

Section: Implications For Future Research and Clinical Practicementioning

confidence: 99%

Delayed prescribing for upper respiratory tract infections: a qualitative study of GPs' views and experiences

Høye

Frich²,

Lindbœk³

2010

Br J Gen Pract

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“…The Center for Disease Control and Prevention and other groups have designed interventions to promote appropriate prescribing of antibiotics [21]. The policy of utilizing delayed antibiotic prescription significantly re-duced antibiotic use in several instances [22,23]. This study has documented serious problems in prescribing practices for acute common illnesses in children in Tehran.…”

Section: Discussionmentioning

confidence: 99%

Prescription practices in acute pediatric infections

Shiva

Eidikhani

Padyab

2015

J Pediatr Infect Dis

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Optimal medical care requires that patients receive medications appropriate to their clinical needs. To achieve this objective it is essential that irrational patient management practices are identified, and attempts made towards their correction. A study was done in Tehran to identify prescribing practices in common acute infections in children. Data collected from reviewing the prescriptions given to children in three different settings of ambulatory care, and from interviewing their parents, was documented on a structured questionnaire. Five hundred prescriptions were reviewed. Three hundred and eight were for acute gastroenteritis and 192 for acute respiratory tract infection. The average number of drugs/prescription was 3.33 ? 1.2; general practitioners prescribed 3.47 ? 1.2 and pediatricians 3.2 ? 1.1 drugs, (P = 0.032). Antibiotics were written in 79.4%, and 42.8% included injections. In respiratory infections, antihistamines were prescribed in 73.4%. In gastroenteritis anti-emetics were written for 62% and 61.4% were not given oral rehydration solution (ORS). General practitioners prescribed more medications and less ORS than pediatricians. The difference was statistically significant for injections, ORS and anti-emetic medications (P < 0.05). More drugs/prescription and more antibiotics were given in private clinics as compared to public hospitals (P < 0.05). We identified inappropriate drug use in acute respiratory and gastrointestinal infections in children receiving outpatient care in Tehran. Before planning successful intervention strategies, it is crucial to develop insight in the socio-cultural incentives that result in irrational prescriptions.

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Back-up antibiotic prescriptions could reduce unnecessary antibiotic use in rhinosinusitis

Cited by 3 publications

References 0 publications

Health service utilization following symptomatic respiratory tract infections and influencing factors among urban and rural residents in Anhui, China

Health service utilization following symptomatic respiratory tract infections and influencing factors among urban and rural residents in Anhui, China

Delayed prescribing for upper respiratory tract infections: a qualitative study of GPs' views and experiences

Prescription practices in acute pediatric infections

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