Evidence map›Paper›PMID 30264894›Full record

ArticlePharmacoepidemiology and drug safety2018

Comparing outpatient oral antibiotic use in Germany and the Netherlands from 2012 to 2016.

Gabriele Gradl, Martina Teichert, Marita Kieble, Johanna Werning, Martin Schulz

Abstract readComparative Study
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gabriele GradlGerman Institute for Drug Use Evaluation (DAPI), Berlin, DE, Germany.ORCID 0000-0003-1810-090X
Martina TeichertDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-8411-3325
Marita KiebleGerman Institute for Drug Use Evaluation (DAPI), Berlin, DE, Germany.
Johanna WerningGerman Institute for Drug Use Evaluation (DAPI), Berlin, DE, Germany.
Martin SchulzGerman Institute for Drug Use Evaluation (DAPI), Berlin, DE, Germany.ORCID 0000-0002-5876-7322

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOveruse of antibiotics is of concern, but may differ between European countries. This study compares outpatient use of oral antibiotics between Germany (DE) and the Netherlands (NL).

methodsFor DE, we used the DAPI database with information on dispensings at the expense of the Statutory Health Insurance Funds from > 80% of community pharmacies. For NL, data were obtained from the Dutch Foundation for Pharmaceutical Statistics. Use of oral antibiotics was estimated as defined daily doses per 1000 inhabitants per day (DID), except for age comparisons as packages per 1000 inhabitants annually. National time trends were assessed with linear regression, stratified for the major antibiotic classes, and individual substances.

resultsFrom 2012 to 2016, outpatient antibiotic use was lower in NL than in DE (9.64 vs 14.14 DID in 2016) and non-significantly decreased slightly over time in both countries. In DE, dispensings of oral antibiotics to children were higher compared with NL for the age groups 2 to 5 (2.0-fold in 2016) and 6 to 14 years (2.7-fold in 2016). Use of cephalosporins was very low in NL (0.02 DID in 2016), but the second most frequently dispensed class in DE (2.95 DID in 2016).

conclusionFrom 2012 to 2016, outpatient use of oral antibiotics was lower in NL than in DE. Differences were primarily observed in the age groups 2 to 5 and 6 to 14 years, although the recommendations of evidence-based guidelines in both countries were in agreement.

Indexed as

Drug Utilization ReviewAdministration, OralAdolescentAge FactorsAmbulatory CareAnti-Bacterial AgentsChildChild, PreschoolDatabases, FactualDrug PrescriptionsDrug UtilizationGermanyHumansInfantInfant, NewbornLongitudinal StudiesAnti-Bacterial Agentsambulatory careanti-bacterial agentsdrug utilizationGermanyNetherlandspharmacoepidemiology

Identifiers

PMID30264894
PMCPMC6585743

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.