Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study
To study antibiotic prescriptions among 0- to 4-year-old children before and after implementing a quality project on prudent prescribing of antibiotics in primary healthcare in the capital region of Iceland. An observational, descriptive, retrospective study using quantitative methodology. Primary h...
Main Authors: | , , , |
---|---|
Format: | Text |
Language: | unknown |
Published: |
Taylor & Francis
2021
|
Subjects: | |
Online Access: | https://dx.doi.org/10.6084/m9.figshare.15111828 https://tandf.figshare.com/articles/journal_contribution/Encouraging_rational_antibiotic_prescribing_behaviour_in_primary_care_prescribing_practice_among_children_aged_0_4_years_2016_2018_an_observational_study/15111828 |
id |
ftdatacite:10.6084/m9.figshare.15111828 |
---|---|
record_format |
openpolar |
spelling |
ftdatacite:10.6084/m9.figshare.15111828 2023-05-15T16:48:18+02:00 Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study Gunnlaugsdottir, Maria Run Linnet, Kristjan Jonsson, Jon Steinar Blondal, Anna Bryndis 2021 https://dx.doi.org/10.6084/m9.figshare.15111828 https://tandf.figshare.com/articles/journal_contribution/Encouraging_rational_antibiotic_prescribing_behaviour_in_primary_care_prescribing_practice_among_children_aged_0_4_years_2016_2018_an_observational_study/15111828 unknown Taylor & Francis https://dx.doi.org/10.1080/02813432.2021.1958506 Creative Commons Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/legalcode cc-by-4.0 CC-BY Medicine Microbiology FOS Biological sciences Neuroscience Physiology Pharmacology Biotechnology Immunology FOS Clinical medicine Cancer 111714 Mental Health FOS Health sciences 60506 Virology Computational Biology Text article-journal Journal contribution ScholarlyArticle 2021 ftdatacite https://doi.org/10.6084/m9.figshare.15111828 https://doi.org/10.1080/02813432.2021.1958506 2021-11-05T12:55:41Z To study antibiotic prescriptions among 0- to 4-year-old children before and after implementing a quality project on prudent prescribing of antibiotics in primary healthcare in the capital region of Iceland. An observational, descriptive, retrospective study using quantitative methodology. Primary healthcare in the Reykjavik area with a total population of approximately 220,000. A total of 6420 children 0–4 years of age presenting at the primary healthcare centres in the metropolitan area over three years from 2016 to 2018. Reduction of antibiotic prescriptions and change in antibiotic profile. Data on antibiotic prescriptions for children 0–4 years of age was obtained from the medical records. Out-of-hours prescriptions were not included in the database. The number of prescriptions during the study period ranged from 263.6 to 289.6 prescriptions/1000 inhabitants/year. A reduction of 9% in the total number of prescriptions between 2017–2018 was observed. More than half of all prescriptions were for otitis media, followed by pneumonia and skin infections. Amoxicillin accounted for over half of all prescriptions, increasing between 2016 and 2018 by 51.3%. During this period, the prescribing of co-amoxiclav and macrolides decreased by 52.3% and 40.7%, respectively. These changes were significant in all cases, p The results show an overall decrease in antibiotic prescribing concurrent with a change in the choice of antibiotics prescribed and in line with the recommendations presented in the prescribing guidelines implemented by the Primary Healthcare of the Capital Area, and consistent with the project’s goals.Key pointsA substantial proportion of antibiotic prescribing can be considered inappropriate and the antibiotic prescription rate is highest in Iceland of the Nordic countries.After implementing guidance on the treatment of common infections together with feedback on antibiotic prescribing, a decrease in the total number of prescriptions accompanied by a shift in the antibiotic profile was observed. A substantial proportion of antibiotic prescribing can be considered inappropriate and the antibiotic prescription rate is highest in Iceland of the Nordic countries. After implementing guidance on the treatment of common infections together with feedback on antibiotic prescribing, a decrease in the total number of prescriptions accompanied by a shift in the antibiotic profile was observed. Text Iceland DataCite Metadata Store (German National Library of Science and Technology) |
institution |
Open Polar |
collection |
DataCite Metadata Store (German National Library of Science and Technology) |
op_collection_id |
ftdatacite |
language |
unknown |
topic |
Medicine Microbiology FOS Biological sciences Neuroscience Physiology Pharmacology Biotechnology Immunology FOS Clinical medicine Cancer 111714 Mental Health FOS Health sciences 60506 Virology Computational Biology |
spellingShingle |
Medicine Microbiology FOS Biological sciences Neuroscience Physiology Pharmacology Biotechnology Immunology FOS Clinical medicine Cancer 111714 Mental Health FOS Health sciences 60506 Virology Computational Biology Gunnlaugsdottir, Maria Run Linnet, Kristjan Jonsson, Jon Steinar Blondal, Anna Bryndis Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study |
topic_facet |
Medicine Microbiology FOS Biological sciences Neuroscience Physiology Pharmacology Biotechnology Immunology FOS Clinical medicine Cancer 111714 Mental Health FOS Health sciences 60506 Virology Computational Biology |
description |
To study antibiotic prescriptions among 0- to 4-year-old children before and after implementing a quality project on prudent prescribing of antibiotics in primary healthcare in the capital region of Iceland. An observational, descriptive, retrospective study using quantitative methodology. Primary healthcare in the Reykjavik area with a total population of approximately 220,000. A total of 6420 children 0–4 years of age presenting at the primary healthcare centres in the metropolitan area over three years from 2016 to 2018. Reduction of antibiotic prescriptions and change in antibiotic profile. Data on antibiotic prescriptions for children 0–4 years of age was obtained from the medical records. Out-of-hours prescriptions were not included in the database. The number of prescriptions during the study period ranged from 263.6 to 289.6 prescriptions/1000 inhabitants/year. A reduction of 9% in the total number of prescriptions between 2017–2018 was observed. More than half of all prescriptions were for otitis media, followed by pneumonia and skin infections. Amoxicillin accounted for over half of all prescriptions, increasing between 2016 and 2018 by 51.3%. During this period, the prescribing of co-amoxiclav and macrolides decreased by 52.3% and 40.7%, respectively. These changes were significant in all cases, p The results show an overall decrease in antibiotic prescribing concurrent with a change in the choice of antibiotics prescribed and in line with the recommendations presented in the prescribing guidelines implemented by the Primary Healthcare of the Capital Area, and consistent with the project’s goals.Key pointsA substantial proportion of antibiotic prescribing can be considered inappropriate and the antibiotic prescription rate is highest in Iceland of the Nordic countries.After implementing guidance on the treatment of common infections together with feedback on antibiotic prescribing, a decrease in the total number of prescriptions accompanied by a shift in the antibiotic profile was observed. A substantial proportion of antibiotic prescribing can be considered inappropriate and the antibiotic prescription rate is highest in Iceland of the Nordic countries. After implementing guidance on the treatment of common infections together with feedback on antibiotic prescribing, a decrease in the total number of prescriptions accompanied by a shift in the antibiotic profile was observed. |
format |
Text |
author |
Gunnlaugsdottir, Maria Run Linnet, Kristjan Jonsson, Jon Steinar Blondal, Anna Bryndis |
author_facet |
Gunnlaugsdottir, Maria Run Linnet, Kristjan Jonsson, Jon Steinar Blondal, Anna Bryndis |
author_sort |
Gunnlaugsdottir, Maria Run |
title |
Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study |
title_short |
Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study |
title_full |
Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study |
title_fullStr |
Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study |
title_full_unstemmed |
Encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study |
title_sort |
encouraging rational antibiotic prescribing behaviour in primary care – prescribing practice among children aged 0–4 years 2016–2018: an observational study |
publisher |
Taylor & Francis |
publishDate |
2021 |
url |
https://dx.doi.org/10.6084/m9.figshare.15111828 https://tandf.figshare.com/articles/journal_contribution/Encouraging_rational_antibiotic_prescribing_behaviour_in_primary_care_prescribing_practice_among_children_aged_0_4_years_2016_2018_an_observational_study/15111828 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
https://dx.doi.org/10.1080/02813432.2021.1958506 |
op_rights |
Creative Commons Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/legalcode cc-by-4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.6084/m9.figshare.15111828 https://doi.org/10.1080/02813432.2021.1958506 |
_version_ |
1766038403605856256 |