| Non-adherence to antibiotic prescription guidelines in treating urinary tract infection of children: a population-based study in Taiwan. | |
| | |
MedLine Citation:
|
PMID: 20738469 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVES: Inappropriate use of antibiotics may increase antibiotic resistance and health care service load. Few studies have been conducted to investigate physician non-adherence to antibiotic prescription guidelines for treating urinary tract infections (UTIs) in child patients. This study aimed to examine the rates of and factors associated with non-adherence to antibiotic prescription guidelines for treating uncomplicated UTIs in child patients. METHODS: This is a cross-sectional study in which a random sample of 8921 children who received antibiotics prescription for UTIs (ICD-9-CM: 590.1, 595.0, 595.9 or 599.0) at age 17 years or less, between 2000 and 2007, were analysed. Data analysed were retrieved from Taiwan's National Health Insurance database. Non-adherence was determined by antibiotic prescription not recommended by the Infectious Disease Society of Taiwan. Multivariate logistic regression model was employed to assess the potential predictors for non-adherence, including various characteristics of patients, physicians and medical institutions. RESULTS: The overall non-adherence rate was estimated at 20.05%. Older patients, older physicians and physicians from community clinics were associated with higher rates of non-adherence. Compared with pediatricians who had the lowest rate (13.15%) of non-adherence, certain specialties were found to have significantly elevated adjusted odds ratio (AOR) of non-adherence, with the highest one noted for gynecologists (35.11%, AOR = 2.29, 95% confidence interval: 1.89-2.77). We also observed that the most frequently prescribed antibiotics not recommended on guidelines varied with physician specialty. CONCLUSIONS: 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. |
| | |
Authors:
|
Chu C Chen; Li C Wu; Chung Y Li; Chih K Liu; Lin C Woung; Ming C Ko |
Related Documents
:
|
19656639 - Clinically important interaction between statin drugs and clostridium difficile toxin? 22430899 - Prognostic value of proadrenomedullin in severe sepsis and septic shock patients with c... 8375229 - Management of synergistic bacterial gangrene in severely immunocompromised patients. re... 12808079 - Clostridium difficile in a geriatric unit: a prospective epidemiological study employin... 3854579 - Infections in immunocompromised patients. ii. established therapy and its limitations. 22363039 - Concept analysis of good death in terminally ill patients. 19418309 - Clinical presentation and diagnosis of meat allergy in switzerland and southern germany. 8795399 - Acid-base metabolism after bladder substitution with the ileal urethral kock reservoir. 19847439 - Radical cystectomy in the elderly patient: a contemporary comparison of perioperative c... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-24 |
Journal Detail:
|
Title: Journal of evaluation in clinical practice Volume: 17 ISSN: 1365-2753 ISO Abbreviation: J Eval Clin Pract Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-11-04 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: England |
Other Details:
|
Languages: eng Pagination: 1030-5 Citation Subset: IM |
Copyright Information:
|
© 2010 Blackwell Publishing Ltd. |
Affiliation:
|
Department of Health Care Management, National Taipei College of Nursing, Taipei, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety ...
Next Document: Effect of feedback in promoting adherence to an exercise programme: a randomized controlled trial.