Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study.
OBJECTIVE: To study the correlation of antimicrobial consumption with the carriage rate of penicillin resistant and multiresistant pneumococci in children. DESIGN: Cross sectional and analytical prevalence study. SETTING: Five different communities in Iceland. MAIN OUTCOME MEASURE: Prevalence of nas...
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ftpubmed:oai:pubmedcentral.nih.gov:2351797 2023-05-15T16:51:46+02:00 Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. Arason, V. A. Kristinsson, K. G. Sigurdsson, J. A. Stefánsdóttir, G. Mölstad, S. Gudmundsson, S. 1996-08-17 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2351797 http://www.ncbi.nlm.nih.gov/pubmed/8761224 en eng BMJ Group http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2351797 http://www.ncbi.nlm.nih.gov/pubmed/8761224 Research Article Text 1996 ftpubmed 2013-09-01T20:43:09Z OBJECTIVE: To study the correlation of antimicrobial consumption with the carriage rate of penicillin resistant and multiresistant pneumococci in children. DESIGN: Cross sectional and analytical prevalence study. SETTING: Five different communities in Iceland. MAIN OUTCOME MEASURE: Prevalence of nasopharyngeal carriage of penicillin resistant pneumococci in children aged under 7 years in relation to antibiotic use as determined by information from parents, patient's records, and total sales of antimicrobials from local pharmacies in four study areas. RESULTS: Total antimicrobial sales for children (6223 prescriptions) among the four areas for which data were available ranged from 9.6 to 23.2 defined daily doses per 1000 children daily (1.1 to 2.6 courses yearly per child). Children under 2 consumed twice as much as 2-6 year olds (20.5 v 10.9 defined daily doses per 1000 children daily). Nasopharyngeal specimens were obtained from 919 children, representing 15-38% of the peer population groups in the different areas. Pneumococci were carried by 484 (52.7%) of the children, 47 (9.7%) of the isolates being resistant to penicillin or multiresistant. By multivariate analysis age (< 2 years), area (highest antimicrobial consumption), and individual use of antimicrobials significantly influenced the odds of carrying penicillin resistant pneumococci. By univariate analysis, recent antimicrobial use (two to seven weeks) and use of co-trimoxazole were also significantly associated with carriage of penicillin resistant pneumococci. CONCLUSIONS: Antimicrobial use, with regard to both individual use and total antimicrobial consumption in the community, is strongly associated with nasopharyngeal carriage of penicillin resistant pneumococci in children. Control measures to reduce the prevalence of penicillin resistant pneumococci should include reducing the use of antimicrobials in community health care. Text Iceland PubMed Central (PMC) |
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Research Article Arason, V. A. Kristinsson, K. G. Sigurdsson, J. A. Stefánsdóttir, G. Mölstad, S. Gudmundsson, S. Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. |
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Research Article |
description |
OBJECTIVE: To study the correlation of antimicrobial consumption with the carriage rate of penicillin resistant and multiresistant pneumococci in children. DESIGN: Cross sectional and analytical prevalence study. SETTING: Five different communities in Iceland. MAIN OUTCOME MEASURE: Prevalence of nasopharyngeal carriage of penicillin resistant pneumococci in children aged under 7 years in relation to antibiotic use as determined by information from parents, patient's records, and total sales of antimicrobials from local pharmacies in four study areas. RESULTS: Total antimicrobial sales for children (6223 prescriptions) among the four areas for which data were available ranged from 9.6 to 23.2 defined daily doses per 1000 children daily (1.1 to 2.6 courses yearly per child). Children under 2 consumed twice as much as 2-6 year olds (20.5 v 10.9 defined daily doses per 1000 children daily). Nasopharyngeal specimens were obtained from 919 children, representing 15-38% of the peer population groups in the different areas. Pneumococci were carried by 484 (52.7%) of the children, 47 (9.7%) of the isolates being resistant to penicillin or multiresistant. By multivariate analysis age (< 2 years), area (highest antimicrobial consumption), and individual use of antimicrobials significantly influenced the odds of carrying penicillin resistant pneumococci. By univariate analysis, recent antimicrobial use (two to seven weeks) and use of co-trimoxazole were also significantly associated with carriage of penicillin resistant pneumococci. CONCLUSIONS: Antimicrobial use, with regard to both individual use and total antimicrobial consumption in the community, is strongly associated with nasopharyngeal carriage of penicillin resistant pneumococci in children. Control measures to reduce the prevalence of penicillin resistant pneumococci should include reducing the use of antimicrobials in community health care. |
format |
Text |
author |
Arason, V. A. Kristinsson, K. G. Sigurdsson, J. A. Stefánsdóttir, G. Mölstad, S. Gudmundsson, S. |
author_facet |
Arason, V. A. Kristinsson, K. G. Sigurdsson, J. A. Stefánsdóttir, G. Mölstad, S. Gudmundsson, S. |
author_sort |
Arason, V. A. |
title |
Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. |
title_short |
Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. |
title_full |
Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. |
title_fullStr |
Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. |
title_full_unstemmed |
Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? Cross sectional prevalence study. |
title_sort |
do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? cross sectional prevalence study. |
publisher |
BMJ Group |
publishDate |
1996 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2351797 http://www.ncbi.nlm.nih.gov/pubmed/8761224 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2351797 http://www.ncbi.nlm.nih.gov/pubmed/8761224 |
_version_ |
1766041864699379712 |