Antibiotic prescription pattern for viral respiratory illness in emergency room and ambulatory care settings

Mohammed Nadeem Ahmed, Maria M. Muyot, Shahana Begum, Patti Smith, Charletta Little, Fernando J. Windemuller

Research output: Contribution to journalReview article

Abstract

Objective: To evaluate the current practice pattern of antibiotic prescription rate in viral respiratory tract infection diagnosed children among different specialty health care providers. Methods: The study was a retrospective case review study where a random sample of 1200 child care visits coded as viral respiratory infections in primary care provider's office, convenient care clinic, or emergency room in 2006 were analyzed. Results: Overall, the antibiotic prescription rate was 30%. The prescription rate was 3.7 times (95% confidence interval [CI] = 1.90-7.31) higher for bronchitis patients and 2.5 times (95% CI = 1.46-4.30) higher for viral pharyngitis patients than for common cold patients. Antibiotics were written more by emergency physicians (odds ratio [OR] = 11.04; 95% CI = 5.78-21.10) and family practitioners (OR = 5.22; 95% CI = 2.99-9.10) than by pediatricians. Conclusion: Although not recommended, children seen in the emergency room and family practitioner's office are more likely to receive antibiotic prescriptions than those seen in the pediatrician's office.

Original languageEnglish (US)
Pages (from-to)542-547
Number of pages6
JournalClinical Pediatrics
Volume49
Issue number6
DOIs
StatePublished - Jun 1 2010

Fingerprint

Emergency Medical Services
Ambulatory Care
Prescriptions
Hospital Emergency Service
Confidence Intervals
Anti-Bacterial Agents
Respiratory Tract Infections
Odds Ratio
Common Cold
Pharyngitis
Bronchitis
Virus Diseases
Child Care
Health Personnel
Primary Health Care
Emergencies
Physicians
Pediatricians

Keywords

  • Antibiotics
  • Bronchitis
  • Common cold
  • Convenient care
  • Emergency room
  • Family physician
  • Pediatrician
  • Pharyngitis
  • Primary care physician
  • Respiratory tract infection
  • Upper respiratory infections

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Antibiotic prescription pattern for viral respiratory illness in emergency room and ambulatory care settings. / Ahmed, Mohammed Nadeem; Muyot, Maria M.; Begum, Shahana; Smith, Patti; Little, Charletta; Windemuller, Fernando J.

In: Clinical Pediatrics, Vol. 49, No. 6, 01.06.2010, p. 542-547.

Research output: Contribution to journalReview article

Ahmed, Mohammed Nadeem ; Muyot, Maria M. ; Begum, Shahana ; Smith, Patti ; Little, Charletta ; Windemuller, Fernando J. / Antibiotic prescription pattern for viral respiratory illness in emergency room and ambulatory care settings. In: Clinical Pediatrics. 2010 ; Vol. 49, No. 6. pp. 542-547.
@article{c9d5bac960704a6e9cb670d0975449a9,
title = "Antibiotic prescription pattern for viral respiratory illness in emergency room and ambulatory care settings",
abstract = "Objective: To evaluate the current practice pattern of antibiotic prescription rate in viral respiratory tract infection diagnosed children among different specialty health care providers. Methods: The study was a retrospective case review study where a random sample of 1200 child care visits coded as viral respiratory infections in primary care provider's office, convenient care clinic, or emergency room in 2006 were analyzed. Results: Overall, the antibiotic prescription rate was 30{\%}. The prescription rate was 3.7 times (95{\%} confidence interval [CI] = 1.90-7.31) higher for bronchitis patients and 2.5 times (95{\%} CI = 1.46-4.30) higher for viral pharyngitis patients than for common cold patients. Antibiotics were written more by emergency physicians (odds ratio [OR] = 11.04; 95{\%} CI = 5.78-21.10) and family practitioners (OR = 5.22; 95{\%} CI = 2.99-9.10) than by pediatricians. Conclusion: Although not recommended, children seen in the emergency room and family practitioner's office are more likely to receive antibiotic prescriptions than those seen in the pediatrician's office.",
keywords = "Antibiotics, Bronchitis, Common cold, Convenient care, Emergency room, Family physician, Pediatrician, Pharyngitis, Primary care physician, Respiratory tract infection, Upper respiratory infections",
author = "Ahmed, {Mohammed Nadeem} and Muyot, {Maria M.} and Shahana Begum and Patti Smith and Charletta Little and Windemuller, {Fernando J.}",
year = "2010",
month = "6",
day = "1",
doi = "10.1177/0009922809357786",
language = "English (US)",
volume = "49",
pages = "542--547",
journal = "Clinical Pediatrics",
issn = "0009-9228",
publisher = "SAGE Publications Inc.",
number = "6",

}

TY - JOUR

T1 - Antibiotic prescription pattern for viral respiratory illness in emergency room and ambulatory care settings

AU - Ahmed, Mohammed Nadeem

AU - Muyot, Maria M.

AU - Begum, Shahana

AU - Smith, Patti

AU - Little, Charletta

AU - Windemuller, Fernando J.

PY - 2010/6/1

Y1 - 2010/6/1

N2 - Objective: To evaluate the current practice pattern of antibiotic prescription rate in viral respiratory tract infection diagnosed children among different specialty health care providers. Methods: The study was a retrospective case review study where a random sample of 1200 child care visits coded as viral respiratory infections in primary care provider's office, convenient care clinic, or emergency room in 2006 were analyzed. Results: Overall, the antibiotic prescription rate was 30%. The prescription rate was 3.7 times (95% confidence interval [CI] = 1.90-7.31) higher for bronchitis patients and 2.5 times (95% CI = 1.46-4.30) higher for viral pharyngitis patients than for common cold patients. Antibiotics were written more by emergency physicians (odds ratio [OR] = 11.04; 95% CI = 5.78-21.10) and family practitioners (OR = 5.22; 95% CI = 2.99-9.10) than by pediatricians. Conclusion: Although not recommended, children seen in the emergency room and family practitioner's office are more likely to receive antibiotic prescriptions than those seen in the pediatrician's office.

AB - Objective: To evaluate the current practice pattern of antibiotic prescription rate in viral respiratory tract infection diagnosed children among different specialty health care providers. Methods: The study was a retrospective case review study where a random sample of 1200 child care visits coded as viral respiratory infections in primary care provider's office, convenient care clinic, or emergency room in 2006 were analyzed. Results: Overall, the antibiotic prescription rate was 30%. The prescription rate was 3.7 times (95% confidence interval [CI] = 1.90-7.31) higher for bronchitis patients and 2.5 times (95% CI = 1.46-4.30) higher for viral pharyngitis patients than for common cold patients. Antibiotics were written more by emergency physicians (odds ratio [OR] = 11.04; 95% CI = 5.78-21.10) and family practitioners (OR = 5.22; 95% CI = 2.99-9.10) than by pediatricians. Conclusion: Although not recommended, children seen in the emergency room and family practitioner's office are more likely to receive antibiotic prescriptions than those seen in the pediatrician's office.

KW - Antibiotics

KW - Bronchitis

KW - Common cold

KW - Convenient care

KW - Emergency room

KW - Family physician

KW - Pediatrician

KW - Pharyngitis

KW - Primary care physician

KW - Respiratory tract infection

KW - Upper respiratory infections

UR - http://www.scopus.com/inward/record.url?scp=77953038987&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953038987&partnerID=8YFLogxK

U2 - 10.1177/0009922809357786

DO - 10.1177/0009922809357786

M3 - Review article

C2 - 20075029

AN - SCOPUS:77953038987

VL - 49

SP - 542

EP - 547

JO - Clinical Pediatrics

JF - Clinical Pediatrics

SN - 0009-9228

IS - 6

ER -