Antibiotic prescribing quality for children in primary care: an observational study

Abstract

The quality of antibiotic prescribing in this study was mixed and highlights the scope for future improvements. There is a need to assess further the quality of disease-specific antibiotic prescribing in UK primary care settings using data representative of routine clinical practice.

Cross‐national comparison of paediatric antibiotic use in Norway, Portugal and Hungary

“…Despite that antibiotics are among the most commonly prescribed drugs for children and adolescents, information on paediatric antibiotic use is still limited. Countries with electronic health record databases have reported overprescribing for non‐severe infections nationally but comprehensive and comparable, country‐wide paediatric antibiotic use data have only been published for a limited number of European countries, while few European countries published paediatric antibiotic use data on a certain region . From an antibiotic stewardship point of view, more cross‐national drug utilisation studies are needed to get an overview of possible variations in antibiotic use in children.…”

Acute Tonsillitis in Children: The Principle “Zap and It’s Done!”?

“…При этом необоснованная антибактериальная нагруз-ка приходится достоверно чаще на детей до 5 лет, в основном с ОСО и ОТ, в отличие от пациентов с лихорад-кой и более старшего возраста (6-12 лет) [5,7].…”

“…Необоснованное назначение антибиотиков, неадек-ватно низкая доза, недостаточный курс лечения приводят к глобальному росту антибиотикорезистентности [7,15] и заражению резистентными микроорганизмами миллио-нов людей во всем мире. На сегодняшний день имеются сведения, что чаще всего тяжелое течение бактериальных инфекций и осложнений связано с развитием новых механизмов устойчивости флоры.…”

“…По статистике, антибиотик при ОТ без предваритель-ной этиологической диагностики чаще всего назначается врачами общей практики [7], а также оториноларинголо-гами в сравнении с педиатрами (21,9 против 11,6%) [37].…”

Workflow-based data solutions are required to support antimicrobial stewardship in general practice

“…The reasons for prescriptions are not available in most dispensed prescriptions. Surveys are also used,11–13 which collect the reason(s) for prescription, but these are resource intensive. A range of commercially available clinical software is used in general practice but they have limited interoperability, so the secondary analysis of electronic medical records (EMRs) and the targeting and monitoring of AMS initiatives has been difficult.…”