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Am J Public Health. 2003 Nov;93(11):1910-4.

Trends in antimicrobial prescribing for bronchitis and upper respiratory infections among adults and children.

Author information

1
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA. mainouag@musc.edu

Abstract

OBJECTIVES:

This study examined antimicrobial prescribing patterns for adults and children with bronchitis or upper respiratory infections (URIs) before and after release of nationally disseminated pediatric practice recommendations.

METHODS:

Data from the 1993, 1995, 1997, and 1999 National Ambulatory Medical Care Survey were used to evaluate prescriptions for antimicrobials for URIs and bronchitis.

RESULTS:

From 1993 to 1999, the proportion of children receiving antimicrobials after visits for URIs and bronchitis decreased. However, the use of broad-spectrum antimicrobials rose from 10.6% of bronchitis visits to 40.5%. Prescriptions of antimicrobials for adults with URIs or bronchitis showed a decrease between 1993 and 1999.

CONCLUSIONS:

Although antimicrobial prescribing for URIs and bronchitis has decreased for both children and adults, the prescribing of broad-spectrum antibiotics among children has shown a proportional rise.

PMID:
14600065
PMCID:
PMC1448075
DOI:
10.2105/ajph.93.11.1910
[Indexed for MEDLINE]
Free PMC Article

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