Evidence map›Paper›PMID 36067011›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2022

Early Life Antibiotic Prescription for Upper Respiratory Tract Infection Is Associated With Higher Antibiotic Use in Childhood.

Bhavna Samtani, Natasha Gray, Jessica Omand, Charles Keown-Stoneman, Mary Aglipay, Catherine Birken, Jonathon Maguire

Abstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Bhavna SamtaniDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Natasha GrayDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Jessica OmandChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Charles Keown-StonemanDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Mary AglipayLi Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
Catherine BirkenChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0003-0308-8645
Jonathon MaguireDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Funding

CIHR #333560
6 · The paper itself

Abstract

backgroundAntibiotic prescription for uncomplicated upper respiratory tract infection (URTI) in children is not recommended but remains common. The primary objective was to evaluate the relationship between antibiotic prescription for URTI prior to age 2 and antibiotic prescription for URTI after age 2. It was hypothesized that antibiotic prescription for URTI in early childhood may increase the risk of antibiotic use for subsequent URTIs. The secondary objective was to investigate whether this relationship was different for acute otitis media (AOM), for which antibiotics may be indicated.

methodsA prospective cohort study was conducted between December 2008 and March 2016 at 9 primary care practices in Toronto, Canada. Healthy children aged 0-5 years that met TARGet Kids! cohort eligibility criteria were included if they had at least one sick visit prior to age 2 and least one sick visit after age 2. Generalized Estimating Equation (GEE) models were used to evaluate this relationship while considering within-subject correlation.

resultsOf 2380 participants followed for a mean duration of 4.6 years, children who received an antibiotic prescription for URTI prior to age 2 had higher odds of receiving an antibiotic prescription for URTI in later childhood (adjusted odds ratio: 1.39; 95% confidence interval: 1.19 to 1.63; P < .001). This relationship did not appear to be different for AOM compared to non-AOM URTI.

conclusionAntibiotic prescription for URTI before age 2 was associated with antibiotic prescription for URTI in later childhood. Reducing early life antibiotic prescription for URTI may be associated with reduction in antibiotic prescription for subsequent URTIs.

Indexed as

Otitis MediaRespiratory Tract InfectionsAnti-Bacterial AgentsChildChild, PreschoolHumansPrescriptionsProspective StudiesAnti-Bacterial Agentsacute otitis mediaantibioticspediatricsprescriptionupper respiratory tract infection

Identifiers

PMID36067011
PMCPMC9795472

What OpenQuestion holds

Textmetadata
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.