Non-adherence to antibiotic prescription guidelines in treating urinary tract infection of children: a population-based study in Taiwan

Abstract

Special attention should be concentrated on older physicians, gynecologists and physicians who practiced at community clinics to reduce non-adherence of antibiotic prescription for treating UTIs in child patients.

Factors associated with potentially harmful antibiotic prescription during pregnancy: a population‐based study

“…In the present study, compared with doctors from clinics, doctors in regional hospitals were less likely to prescribe potentially harmful antibiotics. This result was consistent with a previous study on guideline adherence in treating urinary tract infections among children, which suggests that doctors in community clinics had significantly higher risks of non-adherence than did those in medical centres [18]. Such differences might reflect differences in knowledge on medical guidelines, and it is reasonable to speculate that hospital doctors tend to have better access to continuing medical education; thus, there is a greater likelihood for some hospital doctors to receive advanced medical knowledge through research.…”

“…Compared with doctors aged <39 years, those aged 39-49 and ≥50 years had higher risks of prescribing inappropriate antibiotics. These results were consistent with findings from previous studies showing that inappropriate antibiotic prescriptions might increase with the length of medical practice [17,18]. Such phenomena raised a concern about the lack of up-to-date knowledge for some older doctors whose continuous education and training might not be sufficient to obtain advanced medical knowledge.…”

The Effect of Tuberculosis on the Mortality of Cirrhotic Patients

“…The patients with RFI were defined as those with diagnostic codes related to RFI (ICD-9-CM code 584, 585, 586, 572.4, or other procedure codes relate to renal failure). 12 The bacterial infections included pneumonia (ICD-9-CM code 481–487, without 484), 13 liver abscess (ICD-9-CM code 572.0), empyema (ICD-9-CM code 510), cellulitis (ICD-9-CM code 681 or 682), necrotizing fasciitis (ICD-9-CM code 728.86), central nerve system infection (ICD-9-CM code 324 or 320), sepsis (ICD-9-CM code 038, 020.0, 790.7, or 112.81), 14 infective endocarditis (ICD-9-CM code 421), urinary tract infection (ICD-9-CM code 590.1, 595.0, 595.9 or 599.0), 15 biliary tract infection (ICD-9-CM code 576.1, 575.0, 574.00, 574.01, 574.30, 574.31, 574.60, 574.61, 574.80, 574.81), septic arthritis, (ICD-9-CM code 711), perianal abscess (ICD-9-CM code 566), and spontaneous bacterial peritonitis. Spontaneous bacterial peritonitis was defined as a patient with the ICD-9-CM diagnosis codes with 567.2, 567.8, or 567.9, and without the procedure codes for the abdominal surgery.…”

Impact of renal dysfunction in cirrhotic patients with bacterial infections other than spontaneous bacterial peritonitis

“…Patients aged less than 30 years were not included because the etiologies of cirrhosis for younger patients were much different from those for adult patients. The bacterial infections in our study included sepsis (ICD‐9‐CM codes 038, 020.0, 790.7 or 112.81), pneumonia (ICD‐9‐CM code 481–487, excluding 484), urinary tract infection (ICD‐9‐CM code 590.1, 595.0, 595.9 or 599.0), biliary tract infection or acute cholecystitis (ICD‐9‐CM codes 576.1, 575.0, 574.00, 574.01, 574.30, 574.31, 574.60, 574.61, 574.80 and 574.81), empyema (ICD‐9‐CM code 510), central nervous system infection (including brain abscess or bacterial meningitis: ICD‐9‐CM code 324 or 320), necrotizing fasciitis (ICD‐9‐CM code 728.86), cellulitis (ICD‐9‐CM code 681 or 682), septic arthritis (ICD‐9‐CM code 711), perianal abscess (ICD‐9‐CM code 566), liver abscess (ICD‐9‐CM code 572.0) and infective endocarditis (ICD‐9‐CM code 421).…”