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Clin Pediatr (Phila). 2010 Jun;49(6):542-7. doi: 10.1177/0009922809357786. Epub 2010 Jan 13.

Antibiotic prescription pattern for viral respiratory illness in emergency room and ambulatory care settings.

Author information

1
Carle Foundation Hospital, Urbana, IL, USA. nadeem.ahmed@carle.com

Abstract

OBJECTIVE:

To evaluate the current practice pattern of antibiotic prescription rate in viral respiratory tract infection diagnosed children among different specialty health care providers.

METHODS:

The study was a retrospective case review study where a random sample of 1200 child care visits coded as viral respiratory infections in primary care provider's office, convenient care clinic, or emergency room in 2006 were analyzed.

RESULTS:

Overall, the antibiotic prescription rate was 30%. The prescription rate was 3.7 times (95% confidence interval [CI] = 1.90-7.31) higher for bronchitis patients and 2.5 times (95% CI = 1.46-4.30) higher for viral pharyngitis patients than for common cold patients. Antibiotics were written more by emergency physicians (odds ratio [OR] = 11.04; 95% CI = 5.78-21.10) and family practitioners (OR = 5.22; 95% CI = 2.99-9.10) than by pediatricians.

CONCLUSION:

Although not recommended, children seen in the emergency room and family practitioner's office are more likely to receive antibiotic prescriptions than those seen in the pediatrician's office.

PMID:
20075029
DOI:
10.1177/0009922809357786
[Indexed for MEDLINE]

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