2003, Number 3
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salud publica mex 2003; 45 (3)
Use of antibiotics in upper respiratory infections on patients under 16 years old in private ambulatory medicine
Peláez-Ballestas I, Hernández-Garduño A, Arredondo-García JL, Viramontes-Madrid JL, Aguilar-Chiu A
Language: English
References: 16
Page: 159-164
PDF size: 54.47 Kb.
ABSTRACT
Objective. To assess antibiotic use for upper respiratory infections (URI) treatment on patients under 16 years-old who are beneficiaries of a pre-paid health care scheme.
Material and Methods. A database containing the record of all the medical prescriptions for URI treatment, from May 1997 to April 1998 was analyzed. Patients were under 16 years old and had been diagnosed with common colds, pharyngitis, bronchitis, sinusitis, otitis, and other unspecified upper respiratory tract infections. Three hundred and fiftyone physicians of seven different specialties who attended 25 300 beneficiaries wrote such prescriptions.
Results. A total of 30 889 assorted medications were prescribed to 5 533 patients with the above diagnoses. Antibiotics were prescribed for 77.5% of all diagnoses, ranging from 58% for pharyngitis to 91% for laryngitis. The most frequently used antibiotics were: penicillin, cephalosporins, and macrolides.
Conclusions. This study presents the information of antibiotics prescription practices for URI in a pre-paid health plan in Mexico. These findings may be used to support specific campaigns for rational use of antibiotics among children attended at private ambulatory health care practices.
REFERENCES
Dowell SF, Marcy SM, Phillips WR, Gerber MA, Schwartz B. Principles of judicious use of antimicrobial agents for pediatric upper respiratory tract infections. Pediatrics 1998;101:163-165.
Rosenstein N, Phillips WR, Gerber MA, Marcy SM, Schwartz B, Dowell SF. The common cold- principles of judicious use of antimicrobial agents. Pediatrics 1998;101:181-184.
Gutiérrez G, Martínez MC, Guiscafré H, Gómez G, Peniche A, Muñoz O. Encuesta sobre el uso de antimicrobianos en las infecciones respiratorias agudas en la población rural mexicana. Bol Med Hosp Infant Mex 1986;43:761-768.
Libreros V, Guiscafré H, Tomé P, Reyes H, Pérez-Cuevas R, Gutiérrez G et al. Patrones de prescripción terapéutica en diarrea e infecciones respiratorias agudas en dos instituciones de salud: SS e IMSS. Gac Med Mex 1992;128:505-552.
Mainous AG 3d, Hueston WJ, Clark JR. Antibiotics and upper respiratory infection: Do some folks think is a cure for the common cold? J Fam Pract 1996;42:357-361.
González R, Steiner JF, Merle S. Antibiotic prescribing for adults with colds, upper respiratory tract infections, and bronchitis by ambulatory care physicians. JAMA 1997;278:901-904.
McCaig LF, Hughes JM. Trends in antimicrobial drug prescribing among office-based physicians in the United States. JAMA 1995;273:214-219.
Nyquist AC, González R, Steiner J, Sande MA. Antibiotics for children with upper respiratory tract infections. JAMA 1998;280:1399-1402.
Flores-Hernández S, Trejo y Pérez JA, Reyes-Morales H, Pérez-Cuevas R, Loera-Romo G, Juárez Díaz-González N et al. Diseño y aplicabilidad de una guía clínica para la atención apropiada en las infecciones respiratorias agudas. Gac Med Mex 1999;135:121-137.
World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 10th Revision. Ginebra: WHO, 1992.
Leyva-Flores R, Erviti-Erice J, Kageyama-Escobar M, Arredondo A. Prescripción, acceso y gasto en medicamentos entre usuarios de servicios de salud en México. Salud Publica Mex 1998;40:24-31.
Hamm RM, Hicks RJ, Bemben DA. Antibiotics and respiratory infections: Are patients more satisfied when expectations are met? J Fam Pract 1996;43:56-62.
Schwartz RH,Freij BJ,Ziai M, Scheridan MJ. Antimicrobial prescribing for acute purulent rhinitis in children: A survey of pediatricians and family practitioners. Pediatr Infect Dis J 1997;16:185-190
Guillemot D, Carbon C, Vauzelle-Kervroedan F, Balkau B, Maison P, Bouvenot G et al. Inappropriateness and variability of antibiotic prescription among French office-based physicians. J Clin Epidemiol 1998;51:61-68.
Iezzoni LI. Assessing quality using administrative data. Ann Intern Med 1997;127:666-674.
Goldberg R, Kotsanos JG. Panel 3: Methodological issues in conducting pharmacoeconomic evaluations. Retrospective and claims database studies. Value Health 1999;2:82-87.