ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
Reduced antibiotic prescribing for acute respiratory infections in adults and children.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 42 citations in OpenAlex.
- Trial
- Trial
- Effectiveness of multifaceted educational programme to reduce antibiotic dispensing in primary care: practice based randomised controlled trial.BMJ (Clinical research ed.) · 2012Trial
- Changes in the Prescription of Antibiotics and Phytopharmaceuticals in Children Treated for Acute Upper and Lower Respiratory Tract Infections in Pediatric Practices in Germany in 2013, 2018, and 2022.Antibiotics (Basel, Switzerland) · 2023Article
- Article
- Health service utilization following symptomatic respiratory tract infections and influencing factors among urban and rural residents in Anhui, China.Primary health care research & development · 2019Article
- Antibiotic Prescribing Practices and Errors among Hospitalized Pediatric Patients Suffering from Acute Respiratory Tract Infections: A Multicenter, Cross-Sectional Study in Pakistan.Medicina (Kaunas, Lithuania) · 2019Article
- Infectious disease burden and antibiotic prescribing in primary care in Israel.Annals of clinical microbiology and antimicrobials · 2018Article
- Parents' Expectations and Experiences of Antibiotics for Acute Respiratory Infections in Primary Care.Annals of family medicine · 2017Article
- The rate of antibiotic utilization in Iranian under 5-year-old children with acute respiratory tract illness: A nationwide community-based study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2015Article
- Childhood urinary tract infection in primary care: a prospective observational study of prevalence, diagnosis, treatment, and recovery.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Observational
- Pharmacoepidemiology of common colds and upper respiratory tract infections in children and adolescents in Germany.BMC pharmacology & toxicology · 2014Article
- Antibiotic Use in Children with Acute Respiratory or Ear Infections: Prospective Observational Comparison of Anthroposophic and Conventional Treatment under Routine Primary Care Conditions.Evidence-based complementary and alternative medicine : eCAM · 2014Article
- Antibiotic Usage Prior and During Hospitalization for Clinical Severe Pneumonia in Children under Five Years of Age in Rabat, Morocco.Antibiotics (Basel, Switzerland) · 2013Article
- The diagnosis of urinary tract infections in young children (DUTY): protocol for a diagnostic and prospective observational study to derive and validate a clinical algorithm for the diagnosis of UTI in children presenting to primary care with an acute illness.BMC infectious diseases · 2012Article
- Decrease of antibiotic consumption in children with upper respiratory tract infections after implementation of an intervention program in Cyprus.Antimicrobial agents and chemotherapy · 2012Article
- Antibiotic prescriptions in primary health care in a rural population in Crete, Greece.BMC research notes · 2011Article
- Reducing uncertainty in managing respiratory tract infections in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- The future role of pharmacists in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Respiratory infections.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRecent public health efforts, including in the UK and US, have targeted decreasing unnecessary antibiotic use. In the US, prescribing for acute non-specific respiratory infections (ARIs) has decreased, but broad-spectrum antibacterial prescribing has soared.
aimTo assess recent trends in antibacterial prescribing for ARIs in the UK. DESIGN OF STUDY: Retrospective cohort.
settingThe Health Improvement Network database.
methodOutpatient ARI visits from 1 January 1990 to 31 December 2004 were selected. Outcomes were antibacterial and broad-spectrum antibacterial prescriptions per thousand person-years, and the probability of receiving an antibacterial and broad-spectrum prescription conditional on an ARI visit.
resultsFrom 1990 to 2004, antibacterial prescribing rates for ARIs decreased from 55.0 to 30.3 prescriptions/1000 person-years for adults and from 124.8 to 46.3 prescriptions/1000 person-years for children (P=0.001). The probability of receiving an antibacterial prescription after an ARI visit decreased from 70.8% to 59.5% for adults and from 46.1% to 30.8% for children (P=0.003 and 0.007, respectively). Antibacterial prescribing declined faster for younger than for older adults. Broad-spectrum antibacterial prescribing rates decreased from 3.8 to 2.9 prescriptions/1000 person-years for adults and from 5.2 to 2.2 prescriptions/1000 person years for children (P=0.005 and 0.003, respectively). The probability of broad-spectrum prescribing did not demonstrate a significant linear trend for adults (P=0.16), and decreased for children (P=0.01).
conclusionUK antibacterial prescribing for ARIs has declined, similar to US trends, but there was no concomitant increase in low broad-spectrum prescribing. The success of UK strategies for limiting antimicrobial use has implications for programmes in other countries.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.