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Respiratory tract infections in children in primary healthcare in Poland.
Adv Exp Med Biol. 2015; 835:53-9.AE

Abstract

Respiratory tract infections are the most common diseases in children. The aim of the study was to assess their frequency and antibiotic treatment in Poland. We retrospectively analyzed 91 randomly-selected children aged 0-17 years receiving care from birth in a large primary healthcare establishment in the city of Wroclaw in Poland. Respiratory tract infections were responsible for 25-40 % of all primary healthcare visits. The median of visits due to upper respiratory tract infections was 1.8 per year in all children and 2.0 per year in children 0-3 years old. Antibiotics were overused; the majority (57.4 %) of the respiratory infections were treated with antibiotics: acute tonsillitis in 90.7 %, bronchitis in 67.5 %, otitis media in 65.9 %, pneumonia in 60.9 %, non-specific upper respiratory tract infections in 25.8 %, laryngitis in 22.2 %, and sinusitis in 12.5 %. The higher the number of antibiotic therapies, the higher the total number of visits including visits due to respiratory tract infections. In conclusion, implementation of careful and responsible management of a rational use of antibiotics is urgently needed since a reduction in their use may lead to a decrease in the number of visits due to upper respiratory tract infections and a total number of primary care visits.

Authors+Show Affiliations

Department of Pediatric Infectious Diseases, Medical University of Wroclaw, 44 Bujwida St., Wroclaw, Poland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25252897

Citation

Kuchar, E, et al. "Respiratory Tract Infections in Children in Primary Healthcare in Poland." Advances in Experimental Medicine and Biology, vol. 835, 2015, pp. 53-9.
Kuchar E, Miśkiewicz K, Szenborn L, et al. Respiratory tract infections in children in primary healthcare in Poland. Adv Exp Med Biol. 2015;835:53-9.
Kuchar, E., Miśkiewicz, K., Szenborn, L., & Kurpas, D. (2015). Respiratory tract infections in children in primary healthcare in Poland. Advances in Experimental Medicine and Biology, 835, 53-9. https://doi.org/10.1007/5584_2014_34
Kuchar E, et al. Respiratory Tract Infections in Children in Primary Healthcare in Poland. Adv Exp Med Biol. 2015;835:53-9. PubMed PMID: 25252897.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Respiratory tract infections in children in primary healthcare in Poland. AU - Kuchar,E, AU - Miśkiewicz,K, AU - Szenborn,L, AU - Kurpas,D, PY - 2014/9/26/entrez PY - 2014/9/26/pubmed PY - 2015/3/5/medline SP - 53 EP - 9 JF - Advances in experimental medicine and biology JO - Adv Exp Med Biol VL - 835 N2 - Respiratory tract infections are the most common diseases in children. The aim of the study was to assess their frequency and antibiotic treatment in Poland. We retrospectively analyzed 91 randomly-selected children aged 0-17 years receiving care from birth in a large primary healthcare establishment in the city of Wroclaw in Poland. Respiratory tract infections were responsible for 25-40 % of all primary healthcare visits. The median of visits due to upper respiratory tract infections was 1.8 per year in all children and 2.0 per year in children 0-3 years old. Antibiotics were overused; the majority (57.4 %) of the respiratory infections were treated with antibiotics: acute tonsillitis in 90.7 %, bronchitis in 67.5 %, otitis media in 65.9 %, pneumonia in 60.9 %, non-specific upper respiratory tract infections in 25.8 %, laryngitis in 22.2 %, and sinusitis in 12.5 %. The higher the number of antibiotic therapies, the higher the total number of visits including visits due to respiratory tract infections. In conclusion, implementation of careful and responsible management of a rational use of antibiotics is urgently needed since a reduction in their use may lead to a decrease in the number of visits due to upper respiratory tract infections and a total number of primary care visits. SN - 0065-2598 UR - https://www.unboundmedicine.com/medline/citation/25252897/Respiratory_tract_infections_in_children_in_primary_healthcare_in_Poland_ DB - PRIME DP - Unbound Medicine ER -