Prescription behaviours of office‐based doctors to standardized common cold patients in Korea

Abstract

Antibiotics and injections were frequently prescribed for mild common colds in Korea. Action to ensure judicious use of antibiotics and injection is urgent.

Misprescription of antibiotics in primary care: a critical systematic review of its determinants

“…The 46 papers included could be separated into two blocks, according to whether the unit of analysis used was doctors (31 studies) [10,11,15–22,24–30,32–35,37–39,41–44,47,48,51] or some other item (clinical histories, prescriptions, etc.) [6–9,12–14,23,31,36,40,45,49,50].…”

“…In the 31 studies included in the block which studied doctors [10,11,15–22,24–30,32–35,37–39,41–44,47,48,51], the median percentage participation was 65%, and the data were collected by means of questionnaires in 27 cases [10,11,15–22,25–27,29,30,33–35,37–39,41–43,47,48,51] (with this procedure being combined with collection based on a review of clinical histories in four cases [18,19,42,43] and a review of prescriptions in one case) [37], and through observers/actors present at the medical visit in four cases [24,28,32,49]. Questionnaires were distributed by post in over 50% of cases [10,16,19,24–27,29,30,34,38,39,51]; nine were self‐administered [11,18,20,21,33,35,37,47,48], four made no mention of the method of distribution [15,22,28,41] and one took the form of a telephone survey [17].…”

“…In terms of the disease treated, most studies focused on respiratory infection in its different spectra (ranging from the common cold to acute bronchitis) [7,9–13,15–22,26–32,34,36–39,41–45,47–49]. In four no specific disease was mentioned [6,23,25,51], in three respiratory infection was combined with others, such as urinary tract infections or diarrhoea [14,46,50], two addressed the topic of prophylaxis in Caesarean section [33,40], and surgical infection was targeted in one [24] and urinary infection in another [8].…”

“…The study setting was primary care in 35 of the 46 studies [6–11,13–23,26–28,31,32,35,37,39,41–45,48,50,51], hospital care in six [24,25,33,36,40,49] and both in the remainder (five papers) [12,29,30,34,38]. The most widely studied professionals were general practitioners (GPs), followed by paediatricians.…”

Descripción del uso de medicamentos gastroprotectores en pacientes con polifarmacia en una población colombiana, a partir de bases de datos transaccionales

“…Los medicamentos frecuentemente asociados a la polifarmacia son aquellos que actúan a nivel gastrointestinal, psicotrópico y cardiovascular (5); identificando dentro de los grupos farmacológicos más prescritos en pacientes cró-nicos: antihipertensivos (82,6%), antiulcerosos (73,8%), antitrombóticos (70,3%) y antinflamatorios no esteroideos (AINE) (36,5%) (6). En Corea, durante el año 2002, el 81,6% de los médicos internistas incluía antiulcerosos en sus prescripciones (7,8), la inclusión de estos son un predictor de polifarmacia (9).…”