ArticleBJGP open2020
Using early childhood infections to predict late childhood antibiotic consumption: a prospective cohort study.
Article in BJGP open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn the Swedish welfare system, the prescription and price of antibiotics is regulated. Even so, socioeconomic circumstances might affect the consumption of antibiotics for children.
aimThis study aimed to investigate if socioeconomic differences in antibiotic prescriptions could be found for children aged 2-14 years, and to find predictors of antibiotic consumption in children, especially if morbidity or socioeconomic status in childhood may function as predictors. DESIGN &
settingParticipants were from All Babies In Southeast Sweden (ABIS), a prospectively followed birth cohort (
methodParents of included children completed questionnaires about child morbidity at birth and at intervals up to 12 years. Their answers, combined with public records and national registries, were entered into the ABIS database and analysed. The primary outcome measure was the number of antibiotic prescriptions for each participant during a follow-up period between 2005-2014.
resultsThe most important predictor for antibiotic prescription in later childhood was parent-reported number of antibiotic-treated infections at age 2-5 years (odds ratio (OR) range 1.21 to 2.23, depending on income quintile;
conclusionParent-reported antibiotic-treated infection at age 2-5 years predicted antibiotic consumption in later childhood. Swedish doctors are supposed to treat all patients individually and to follow official guidelines regarding antibiotics, to avoid antibiotics resistance. As socioeconomic factors are found to play a role, awareness is important to get unbiased treatment of all children.
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