Document Detail


Factors of early infancy and recurrent use of antibiotic therapy.
MedLine Citation:
PMID:  15499962     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To analyse the role of early infant-related, parent-related, family functioning and social relation factors during the infant's first 3 mo of life and their associations with later recurrent treatments with antibiotics. METHODS: In an unselected population-based study, parents expecting their first child were followed from pregnancy until the infant was 18 mo of age. Informed consent to participate was obtained from 1443 women expecting their first child and their spouses. The parents of 817 children reported the number of preceding antibiotic treatments at two times (when the child was 9 and 18 mo old). The outcome measure was the number of antibiotic treatments (options: none, 1-5, > or = 6). The factors associated with later use of antibiotics were collected during the first 3 mo of the infant's life. The variable factors included infant-related, parent-related, family functioning and social relation factors. RESULTS: The final regression analysis showed the potent factors associated with recurrent use of antibiotics: male gender (OR 2.8, 95% CI: 1.6-4.8), frequent physician consultations in early infancy (OR 3.1, 95% CI: 1.8-5.3) and the father's need for outside support (OR 2.2, 95% CI: 1.3-3.8). CONCLUSIONS: In addition to early infant-related medical factors, family factors may be associated with frequent medical consultations and the decision to administer antibiotics to the infant. In the prevention of antibiotic overuse, social and psychological factors should be considered.
Authors:
K Louhi-Pirkanniemi; P Rautava; M Aromaa; A Ojanlatva; J Mertsola; H Helenius; M Sillanpää
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  93     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-25     Completed Date:  2005-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1386-90     Citation Subset:  IM    
Affiliation:
Department of Public Health, University of Turku, Turku, Finland. katlou@netti.fi
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Anti-Bacterial Agents / administration & dosage*
Child Health Services / utilization
Colic
Fathers / psychology
Female
Health Status
Humans
Infant
Infant, Newborn
Interpersonal Relations
Male
Parents
Pregnancy
Sex Factors
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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