ArticleInfection2013
Variation in antibiotic prescriptions: is area deprivation an explanation? Analysis of 1.2 million children in Germany.
Article in Infection, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors contributing to the variation in antibiotic prescribing among primary health care physicians: a systematic review.BMC primary care · 2024Pooled it
- Factors influencing antibiotic prescribing for respiratory tract infections in primary care - a comparison of physicians with different antibiotic prescribing rates.Scandinavian journal of primary health care · 2024Article
- Differences in healthcare structures, processes and outcomes of neighbouring European countries: the example of Germany and the Netherlands.Research in health services & regions · 2023Article
- Antibiotic prescriptions among dentists across Norway and the impact of COVID-19 pandemic.BMC oral health · 2023Article
- A geospatial approach to identify patterns of antibiotic susceptibility at a neighborhood level in Wisconsin, United States.Scientific reports · 2023Observational
- Article
- Regional Variations in Outpatient Antibiotic Prescribing in Germany: A Small Area Analysis Based on Claims Data.Antibiotics (Basel, Switzerland) · 2022Article
- Dental Attendances to General Medical Practitioners in Wales: A 44 Year-Analysis.Journal of dental research · 2022Observational
- Trend in antibiotic prescription to children aged 0-6 years old in the capital region of Denmark between 2009 and 2018: Differences between municipalities and association with socioeconomic composition.The European journal of general practice · 2021Article
- Article
- Socioeconomic Status and Determinants of Pediatric Antibiotic Use.Clinical pediatrics · 2021Article
- The Decline in Outpatient Antibiotic Use.Deutsches Arzteblatt international · 2020Article
- Patients with coronary artery disease after acute myocardial infarction: effects of continuous enrollment in a structured Disease Management Program on adherence to guideline-recommended medication, health care expenditures, and survival.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Antibiotic prescribing for pediatric respiratory infections: What explains a large variation among physicians?Canadian family physician Medecin de famille canadien · 2019Article
- Prevalence of antibiotic prescription in southern Italian outpatients: real-world data analysis of socioeconomic and sociodemographic variables at a municipality level.ClinicoEconomics and outcomes research : CEOR · 2018Article
- Predictors of non-drug psychiatric/psychotherapeutic treatment in children and adolescents with mental or behavioural disorders.European child & adolescent psychiatry · 2017Article
- Drivers of antibiotic prescribing in children and adolescents with febrile lower respiratory tract infections.PloS one · 2017Article
- Article
- Incorporating Environmental Justice into Second Generation Indices of Multiple Deprivation: Lessons from the UK and Progress Internationally.International journal of environmental research and public health · 2016Review
- Outpatient Antibiotic Prescription.Deutsches Arzteblatt international · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeInadequate use of antibiotics can lead to problems such as resistance. Overuse is especially a problem for children, since they are more affected by acute (often virus-caused) infections. While the problem has been addressed internationally over the past several years, regional variations in prescriptions are striking. Therefore, the present study aims to analyze regional variations in antibiotic prescription on a district level in Germany and tries to identify reasons for those variations through adding possible influencing factors to the analysis on individual and district levels.
methodsWe analyzed 1.2 million children insured in a German health insurance fund. Antibiotic prescriptions were quantified in 2010 and reasons for prescriptions were analyzed in multilevel regressions based on the district of residence, regional deprivation, and age and sex of the child.
resultsThirty-six percent of all children aged 0-17 years received an antibiotic prescription in 2010. In the south, prevalences are generally lower, and also to the very north. The highest prevalences are found in the close-to-border districts in the west, as well as in a band throughout the middle of Germany, in rather low population density areas. Regional variation in the prevalence range from 19 to 53 % between districts. Regional deprivation can explain part of this variation.
conclusionsIncluding area deprivation measures helped identify an influence of especially regional income and occupational deprivation on antibiotic prescriptions for children. Regional analysis such as this can help identify specific regions and groups of persons to address information programs on the risks of preventable antibiotic consumption and alternative treatment methods.
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