Evidence map›Paper›PMID 35203792›Full record

ArticleAntibiotics (Basel, Switzerland)2022

Prescribing Patterns and Variations of Antibiotic Use for Children in Ambulatory Care: A Nationwide Study.

Githa Fungie Galistiani, Ria Benkő, Balázs Babarczy, Renáta Papp, Ágnes Hajdu, Éva Henrietta Szabó, Réka Viola, Erika Papfalvi, Ádám Visnyovszki, Mária Matuz

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  8. Drug Prescription Indicators in Outpatient Services in Social Security Organization Facilities in Iran.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024
    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

10 authors.

Githa Fungie GalistianiDepartment of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, 6725 Szeged, Hungary.ORCID 0000-0003-1527-3274
Ria BenkőDepartment of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, 6725 Szeged, Hungary.ORCID 0000-0002-8009-8962
Balázs BabarczyNational Public Health Center, 1097 Budapest, Hungary.
Renáta PappOffice for the Vice-Rector for Science and Innovations, Semmelweis University, 1085 Budapest, Hungary.
Ágnes HajduNational Public Health Center, 1097 Budapest, Hungary.
Éva Henrietta SzabóDepartment of Paediatrics and Paediatric Health Centre, Albert Szent Györgyi Medical School, University of Szeged, 6720 Szeged, Hungary.
Réka ViolaDepartment of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, 6725 Szeged, Hungary.
Erika PapfalviInternal Medicine Clinic, Infectology Unit, Albert Szent Györgyi Medical Center, 6725 Szeged, Hungary.
Ádám VisnyovszkiInternal Medicine Clinic, Infectology Unit, Albert Szent Györgyi Medical Center, 6725 Szeged, Hungary.ORCID 0000-0001-6825-1496
Mária MatuzDepartment of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, 6725 Szeged, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to analyse characteristics of paediatric antibiotic use in ambulatory care in Hungary. Data on antibiotics for systemic use dispensed to children (0-19 years) were retrieved from the National Health Insurance Fund. Prescribers were categorised by age and specialty. Antibiotic use was expressed as the number of prescriptions/100 children/year or month. For quality assessment, the broad per narrow (B/N) ratio was calculated as defined by the European Surveillance of Antimicrobial Consumption (ESAC) network. Paediatric antibiotic exposure was 108.28 antibiotic prescriptions/100 children/year and was the highest in the age group 0-4 years. Sex differences had heterogenous patterns across age groups. The majority of prescriptions were issued by primary care paediatricians (PCP). The use of broad-spectrum agents dominated, co-amoxiclav alone being responsible for almost one-third of paediatric antibiotic use. Elderly physicians tended to prescribe less broad-spectrum agents. Seasonal variation was found to be substantial: antibiotic prescribing peaked in January with 16.6 prescriptions/100 children/month, while it was the lowest in July with 4 prescriptions/100 children/month. Regional variation was prominent with an increasing west to east gradient (max: 175.6, min: 63.8 prescriptions/100 children/year). The identified characteristics of paediatric antibiotic use suggest that prescribing practice should be improved.

Indexed as

antibiotic exposureantibiotic stewardshipdrug utilisation studynumber of prescriptionsoutpatient usephysician specialtyprescription ratepublic healthregional variationseasonality

Identifiers

PMID35203792
PMCPMC8868088

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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.