| Titre : | Antibiotic prescribing for children with colds, upper respiratory tract infections, and bronchitis. (1998) |
| Auteurs : | A.C. NYQUIST ; R. GONZALES ; M.A. SANDE ; J.F. Steiner ; Department of Preventive Medicine and Biometrics. University of Colorado Health Sciences Center. Denver. USA ; Division of General Internal Medicine. University of Colorado Health Sciences Center. Denver. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 279, n° 11, 1998) |
| Pagination : | 875-877 |
| Langues: | Anglais |
| Mots-clés : | Bronchite ; Infection ; Médicament antibiotique ; Médecin ; Epidémiologie ; Thérapeutique médicamenteuse ; Thérapeutique ; Enfant ; Homme ; Etats Unis ; Amérique du Nord ; Amérique ; Appareil respiratoire [pathologie] ; Profession santé |
| Résumé : | [BDSP. Notice produite par INIST X6R0x7Fn. Diffusion soumise à autorisation]. Context. - The spread of antibiotic-resistant bacteria is associated with antibiotic use. Children receive a significant proportion of the antibiotics prescribed each year and represent an important target group for efforts aimed at reducing unnecessary antibiotic use. Objective. To evaluate antibiotic-prescribing practices for children younger than 18 years who had received a diagnosis of cold, upper respiratory tract infection (URI), or bronchitis in the United States. Design. - Representative national survey of practicing physicians participating in the National Ambulatory Medical Care Survey conducted in 1992 with a response rate of 73%. Setting. - Office-based physician practices. Participants. - Physicians completing patient record forms for patients younger than 18 years. Main Outcome Measures. - Principal diagnoses and antibiotic prescriptions. Results. - A total of 531 pediatric office visits were recorded that included a principal diagnosis of cold, URI, or bronchitis. Antibiotics were prescribed to 44% of patients with common colds, 46% with URls, and 75% with bronchitis. Extrapolating to the United States, 6.5 million prescriptions (12% of all prescriptions for children) were written for children diagnosed as having a URI or nasopharyngitis (common cold), and 4.7 million (9% of all prescriptions for children) were written for children diagnosed as having bronchitis. (...) |
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