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Antibiotic prescribing for Canadian preschool children: evidence of overprescribing for viral respiratory infections.
Clin Infect Dis. 1999 Jul; 29(1):155-60.CI

Abstract

Antibiotic resistance is associated with prior receipt of antibiotics. An analysis of linked computerized databases for physician visits and antibiotic prescriptions was used to examine antibiotic prescribing for different respiratory infections in preschool children in Canada. In 1995, 64% of 61,165 children aged <5 years made 140,892 visits (mean, 3.6 visits per child) for respiratory infections; 74% of children who made visits received antibiotic prescriptions. Antibiotics were prescribed to 49% of children with upper respiratory tract infection, 18% with nasopharyngitis, 78% with pharyngitis or tonsillitis, 32% with serous otitis media, 80% with acute otitis media, 61% with sinusitis, 44% with acute laryngitis or tracheitis, and 24% with influenza. Acute otitis media accounted for 33% of all visits and 39% of all antibiotic prescriptions. The estimated Canadian-dollar cost of overprescribing was $423,693, or 49% of the total cost of antibiotics ($859,893) used in this group. This population-based study confirms antibiotic overprescribing in Canada.

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Authors+Show Affiliations

Wang EE
Department of Pediatrics, Faculty of Pharmacy, University of Toronto, Ontario, Canada. ewang@ca.pmc_vacc.com
Einarson TR
No affiliation info available
Kellner JD
No affiliation info available
Conly JM
No affiliation info available

MeSH

Anti-Bacterial AgentsAntiviral AgentsCanadaChild, PreschoolDrug CostsDrug PrescriptionsDrug UtilizationHumansRespiratory Tract InfectionsVirus Diseases

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10433579

Citation

Wang, E E., et al. "Antibiotic Prescribing for Canadian Preschool Children: Evidence of Overprescribing for Viral Respiratory Infections." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 29, no. 1, 1999, pp. 155-60.
Wang EE, Einarson TR, Kellner JD, et al. Antibiotic prescribing for Canadian preschool children: evidence of overprescribing for viral respiratory infections. Clin Infect Dis. 1999;29(1):155-60.
Wang, E. E., Einarson, T. R., Kellner, J. D., & Conly, J. M. (1999). Antibiotic prescribing for Canadian preschool children: evidence of overprescribing for viral respiratory infections. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 29(1), 155-60.
Wang EE, et al. Antibiotic Prescribing for Canadian Preschool Children: Evidence of Overprescribing for Viral Respiratory Infections. Clin Infect Dis. 1999;29(1):155-60. PubMed PMID: 10433579.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antibiotic prescribing for Canadian preschool children: evidence of overprescribing for viral respiratory infections. AU - Wang,E E, AU - Einarson,T R, AU - Kellner,J D, AU - Conly,J M, PY - 1999/8/5/pubmed PY - 1999/8/5/medline PY - 1999/8/5/entrez SP - 155 EP - 60 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 29 IS - 1 N2 - Antibiotic resistance is associated with prior receipt of antibiotics. An analysis of linked computerized databases for physician visits and antibiotic prescriptions was used to examine antibiotic prescribing for different respiratory infections in preschool children in Canada. In 1995, 64% of 61,165 children aged <5 years made 140,892 visits (mean, 3.6 visits per child) for respiratory infections; 74% of children who made visits received antibiotic prescriptions. Antibiotics were prescribed to 49% of children with upper respiratory tract infection, 18% with nasopharyngitis, 78% with pharyngitis or tonsillitis, 32% with serous otitis media, 80% with acute otitis media, 61% with sinusitis, 44% with acute laryngitis or tracheitis, and 24% with influenza. Acute otitis media accounted for 33% of all visits and 39% of all antibiotic prescriptions. The estimated Canadian-dollar cost of overprescribing was $423,693, or 49% of the total cost of antibiotics ($859,893) used in this group. This population-based study confirms antibiotic overprescribing in Canada. SN - 1058-4838 UR - https://www.unboundmedicine.com/medline/citation/10433579/Antibiotic_prescribing_for_Canadian_preschool_children:_evidence_of_overprescribing_for_viral_respiratory_infections_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1086/520145 DB - PRIME DP - Unbound Medicine ER -