Measuring the financial burden of acute cough in pre-school children: a cost of illness study

Hollinghurst, Sandra; Gorst, Catherine; Fahey, Tom

doi:10.1186/1471-2296-9-10

Cited by 67 publications

(48 citation statements)

References 13 publications

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“…A recent cost of illness analysis estimated the cost of an episode of childhood cough to be £25 to the NHS and £15 to parents. 104 Fever resulted in greater use of healthcare resources across the board, the difference being most marked in the use of accident and emergency and out-of-hours care, the purchase of over-the-counter medication and the effect on parental time off work.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Paracetamol and ibuprofen for the treatment of fever in children: the PITCH randomised controlled trial

Hay

Redmond²,

Costelloe³

et al. 2009

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Paracetamol and ibuprofen for the treatment of fever in children: the PITCH randomised controlled trial

Hay

Redmond²,

Costelloe³

et al. 2009

Health Technol Assess

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“…1 Clinicians frequently prescribe antibiotics for RTIs, 2 despite the fact that most are self-limiting and use of antibiotics for most RTIs is of uncertain value. 3 Overuse of antibiotics is associated with development of antimicrobial resistance, 4 increased care-seeking behaviour, 5 and adverse effects.…”

Section: Introductionmentioning

confidence: 99%

Reducing antibiotic prescribing for children with respiratory tract infections in primary care: a systematic review

Vodicka¹,

Thompson²,

Lucas³

et al. 2013

Br J Gen Pract

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100

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BackgroundRespiratory tract infections (RTIs) in children are common and often result in antibiotic prescription despite their typically self-limiting course. AimTo assess the effectiveness of primary care based interventions to reduce antibiotic prescribing for children with RTIs. Design and settingSystematic review. Method MEDLINE ®, Embase, CINAHL ® , PsycINFO, and the Cochrane library were searched for randomised, cluster randomised, and nonrandomised studies testing educational and/or behavioural interventions to change antibiotic prescribing for children (<18 years) with RTIs. Main outcomes included change in proportion of total antibiotic prescribing or change in 'appropriate' prescribing for RTIs. Narrative analysis of included studies was used to identify components of effective interventions. ResultsOf 6301 references identified through database searching, 17 studies were included. Interventions that combined parent education with clinician behaviour change decreased antibiotic prescribing rates by between 6-21%; structuring the parent-clinician interaction during the consultation may further increase the effectiveness of these interventions. Automatic computerised prescribing prompts increased prescribing appropriateness, while passive information, in the form of waiting room educational materials, yielded no benefit. ConclusionConflicting evidence from the included studies found that interventions directed towards parents and/or clinicians can reduce rates of antibiotic prescribing. The most effective interventions target both parents and clinicians during consultations, provide automatic prescribing prompts, and promote clinician leadership in the intervention design. Keywordsanti-bacterial agents, children, prescriptions, primary health care, respiratory tract infections.e445 British Journal of General Practice, July 2013 (from inception through June 2012) were searched using terms for RTIs, children, parents, education, antibiotic prescription, and consultation (Table 1). One author screened titles and abstracts based on predefined inclusion criteria to identify relevant studies and reviewed reference lists and related citations of selected studies to identify additional references. Two authors reviewed the full-text of selected studies to determine inclusion. Disagreements were settled through discussions with a third author.Controlled studies were included that used a randomised, cluster randomised, non-randomised or one-group pre-and post-test design to assess the effectiveness of educational or behavioural interventions to change clinicians' antibiotic prescribing for acute RTIs in children (birth to 18 years) in primary care settings (family practice, emergency, or paediatric primary care). Outcomes of interest were change in proportion of antibiotic prescriptions issued for RTIs in children, or change in 'appropriate' antibiotic prescribing. Comparisons included no-treatment or alternate treatment controls. Studies were excluded if they were: from in-patient settings; evaluations of...

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“…Otro aspecto no desdeñable del consumo de fár-macos es el coste de estos productos 22 . Como consecuencia de la no financiación de muchos preparados anticatarrales, su precio se ha incrementado notablemente en los últimos meses.…”

Section: Discussionunclassified

Prescripción de antitusígenos por pediatras de Atención Primaria del País Vasco

Guzmán¹,

López²,

Libano³

2013

Rev Pediatr Aten Primaria

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Antitussive prescription in Primary Care pediatricians of the Basque CountryIntroducción: la tos es un motivo frecuente de consulta en Pediatría que conlleva un consumo importante de fármacos antitusígenos, bajo prescripción médica o como medicamentos de libre dispensación, pese a que su eficacia no esta claramente probada. Objetivos: conocer el perfil de prescripción de antitusígenos de los pediatras de Atención Primaria de la Comunidad Autónoma Vasca y la percepción del uso de medicamentos antitusígenos de libre dispensación. Material y métodos: encuesta estructurada, anónima, en la que participaron 77 pediatras del País Vasco (36 de Álava, 28 de Bizkaia y 13 de Gipuzkoa). Resultados: no usaban antitusígenos 25 pediatras (32,5%) y sí lo hacían 52 (67,5%). Los antitusígenos más prescritos fueron dextrometorfano, 41 (78,8%); codeína, 34 (65,4%), y cloperastina, 34 (65,4%). Los motivos de prescripción fueron catarro de vías altas, 47 (90,4%); laringitis, 14 (26,9%); rinitis 7 (13%), y bronquitis, 3 (6%). Otros tratamientos fueron miel, 16 (20,8%); fitoterapia, 6 (7,8%), y homeopatía, 6 (7,8%). Conclusiones: la prescripción de antitusígenos es frecuente en los pediatras de Atención Primaria del País Vasco. El dextrometorfano es el medicamento más recetado. El catarro de vías altas constituye la causa más frecuente para prescribir antitusígenos. Los antitusígenos de libre dispensación no parecen ser de uso frecuente.Introduction: cough is a frequent complaint in Pediatrics that carries a significant consumption of antitussives, by prescription or by over the counter (OTC) drugs, although the effectiveness of these drugs is not clearly proven. Objectives: to assess the prescription profile of cough medicines by primary care pediatricians of the Basque Country and the perception of the use of OTC cough medicines by families. Material and methods: structured survey. Took part 77 primary care pediatricians of the Basque Country (Alava 36, Bizkaia 28 and Gipuzkoa 13). Results: twenty-five (32.5%) pediatricians do not use antitussives and 52 (67.5%) use them normally. The most prescribed antitussives were: dextromethorphan 41 (78.8%), codeine 34 (65.4%) and cloperastine 34 (65.4%). The reasons for prescribing were colds 47 (90.4%), laryngitis 14 (26.9%), rhinitis 7 (13%) and bronchitis 3 (6%). Other treatments were honey 16 (20.8%), herbal therapy 6 (7.8%) and 6 homeopathy (7.8%). Conclusions: the prescription of antitussives is common in primary care pediatricians of the Basque Country. Dextromethorphan is the most prescribed medication. The cold is the most common cause for prescribing cough suppressants. OTC antitussive medications seems not be commonly used by families.

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Measuring the financial burden of acute cough in pre-school children: a cost of illness study

Cited by 67 publications

References 13 publications

Paracetamol and ibuprofen for the treatment of fever in children: the PITCH randomised controlled trial

Paracetamol and ibuprofen for the treatment of fever in children: the PITCH randomised controlled trial

Reducing antibiotic prescribing for children with respiratory tract infections in primary care: a systematic review

Prescripción de antitusígenos por pediatras de Atención Primaria del País Vasco

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