Evidence map›Paper›PMID 32099490›Full record

ArticleRisk management and healthcare policy2020

Drug Utilization Pattern of Antibiotics: The Role of Age, Sex and Municipalities in Determining Variation.

Valentina Orlando, Valeria Marina Monetti, Aida Moreno Juste, Veronica Russo, Sara Mucherino, Ugo Trama, Antonella Guida, Enrica Menditto

Abstract read
In one paragraph

Article in Risk management and healthcare policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Prevalence ofAntibiotics (Basel, Switzerland) · 2022
    Article
  8. Article
  9. Article
  10. Baseline Drug Treatments as Indicators of Increased Risk of COVID-19 Mortality in Spain and Italy.International journal of environmental research and public health · 2021
    Observational
  11. Article
  12. Article
  13. Article
  14. Drug-utilisation profiles and COVID-19.Scientific reports · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
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

8 authors.

Valentina OrlandoCIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-8209-8878
Valeria Marina MonettiCIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Naples, Italy.ORCID 0000-0003-3832-0942
Aida Moreno JusteAragon Health Sciences Institute (IACS), IIS Aragón, REDISSEC ISCIII, Zaragoza, Spain.ORCID 0000-0002-8819-3278
Veronica RussoCIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-0771-5186
Sara MucherinoCIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Naples, Italy.
Ugo TramaRegional Pharmaceutical Unit, Campania Region, Naples, Italy.
Antonella GuidaDirectorate-General for Protection of Health, Campania Region, Naples, Italy.ORCID 0000-0003-3589-0886
Enrica MendittoCIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Naples, Italy.ORCID 0000-0001-8633-5650

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose was to analyze drug prescription and antibiotic use by age and sex in Italy's Campania Region, and to estimate the distribution of prescription rates in children (≤14 years old), adults (between 15 and 65 years old), and older adults (≥65 years old) at a municipality level.

methodsThis was a retrospective analysis of pharmacy records in Campania (Southern Italy), in 2016. Difference in antibiotic prescriptions in different age groups was assessed by prevalence rates. Age-adjusted prevalence rates were categorized into quintiles and mapped by the patient's municipality of residence. Relationship between prevalence rates for the different age groups was estimated using the non-parametric Spearman rank correlation test.

resultsThere were 2,738,118 were patients with at least one antibiotic prescription. Antibiotics prescription was higher in children aged <5 years and in the older adults aged >70 years. Prevalence rate distribution was different among municipalities in all age groups. A positive correlation between the rank distribution of prevalence rates at municipality level was identified for children and adults (rs=0.56;

conclusionA considerably high use of antibiotic drugs has been detected in Campania Region, with values exceeding the regional and national average. Prescriptions at municipal level differ from one age group to another. Antibiotic use is often unjustified, and to decrease the number of prescriptions and improve their appropriateness, several measures at territorial level are recommended.

Indexed as

antibiotic usedrug utilizationprescription patternsreal-world data

Identifiers

PMID32099490
PMCPMC6996207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.