Age-related changes in consultations and antibiotic prescribing for acute respiratory infections, 1995-2000. Data from the UK General Practice Research Database

被引:30
作者
Ashworth, M.
Charlton, J.
Latinovic, R.
Gulliford, M.
机构
[1] Kings Coll London, Sch Med, Guys Kings Coll & St Thomas Hosp, Dept Gen Practice & Primary Care, London SE11 6SP, England
[2] Kings Coll London, Sch Med, Guys Kings Coll & St Thomas Hosp, Dept Publ Hlth Med, London SE11 6SP, England
关键词
age specific rates; antibiotic prescribing; respiratory tract infections;
D O I
10.1111/j.1365-2710.2006.00765.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: International studies using data aggregated for all ages have shown decreasing rates of general practice consultations for acute respiratory infections with fewer antibiotic prescriptions issued per consultation. The occurrence of different respiratory infections varies widely at different ages but we do not know whether prescribing has reduced equally in all age groups. Objective: We aimed to determine how reductions in consultation rates and antibiotic prescribing varied with age for different respiratory infections. Methods: Data were abstracted from the General Practice Research Database for 108 general practices in the UK (mean registered population 642 685). We estimated age-specific changes between 1995 and 2000 in consultation rates, and the proportion of consultations resulting in an antibiotic prescription for 'all respiratory infections' and for 'sore throat', 'ear infection', 'bronchitis' and 'chest infection'. Results: Consultation rates for 'all respiratory infections' declined in all age groups with the greatest decreases in children aged 1-4 years (41%), 5-10 year olds (53%) and 11-16 year olds (54%), whereas at 75-84 years the reduction was 28%. The pattern of greater reductions in children held for each separate condition even though the age of peak incidence varied. The relative reduction in antibiotic prescribing was greatest at 1-4 years (18%), 5-10 years (17%) and 11-16 years (17%), compared with 5% at 75-84 years. Antibiotic prescribing decreased most for sore throat and this was observed at all ages particularly in 5-10 year olds (relative reduction, 32%). Conclusions: School age children account for the greatest reduction in consultations for acute respiratory infection. School age and preschool children account for the greatest reductions in antibiotic prescribing during the consultation. The rapid changes in consultation rates are unexplained.
引用
收藏
页码:461 / 467
页数:7
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