PRESCRIPTION OF ANTIBIOTICS AND PRESCRIBERS CHARACTERISTICS - A STUDY INTO PRESCRIPTION OF ANTIBIOTICS IN UPPER RESPIRATORY-TRACT INFECTIONS IN GENERAL-PRACTICE

被引：45

作者：

KUYVENHOVEN, M

DEMELKER, R

VANDERVELDEN, K

机构：

[1] Department of General Practice, University of Utrecht, Utrecht

来源：

FAMILY PRACTICE | 1993年 / 10卷 / 04期

关键词：

D O I：

10.1093/fampra/10.4.366

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

There is a growing concern about rational prescribing of antibiotics. That is why a secondary analysis of prescribing antibiotics in upper respiratory tract infections has been conducted by means of a nationwide study of morbidity and interventions in The Netherlands. The mean percentage of antibiotic prescriptions varied from about 20% for acute otitis media and acute upper respiratory tract infections to about 70% for sinusitis and tonsillitis. Only attitude-toward prescribing antibiotics in sore throat-and years of settlement were important predictor variables. The other characteristics studied-type of practice, list size, frequency of use of Het Farmacotherapeutisch Kompas, containing national pharmacotherapeutical guidelines, and urbanization level were not. The importance of attitude, however, was less for general practitioners who went into practice after 1975. This means that the influence of a personal characteristic as attitude might have become less influential since the introduction of vocational training for general practice.

引用

页码：366 / 370

页数：5

共 32 条

[1]

Groenewegen P.P., De Bakker D.H., Van Der Velden J., Een nationale studie naar ziekten en verrichtingen in de huisartspraktijk, Basisrapport Verrichtingen in De Huisartspraktijk. Utrecht, Nivel, (1992)

[2]

Sampers G., Sturm A.W., Antimicobiele middelen in de eerste lijn bij luchtweginfecties, Huisarts Wet, 33, pp. 220-222, (1990)

[3]

Van Der Velden J., De Bakker D.H., Claessens A., Schellevis F.G., A Dutch National Survey of General Practice: Morbidity in General Practice, (1992)

[4]

Irvine D.A., The general practitioner and upper respiratory tract infection in childhood, Fam Pract, 3, pp. 126-131, (1986)

[5]

Norreland A.N., Behandling af sinusitis i almenpraksis, Ugeskrlaeg, 140, pp. 2792-2795, (1978)

[6]

Von Sydow C., Axelsson A., Jensen C., Acute maxillary sinusitis’a comparison between 27 different treatment modes, Rhinol, 20, pp. 223-229, (1982)

[7]

Froom J., Culpepper L., Grob P., Et al., Diagnosis and anti- biotic treatment of acute otitis media: Report from International Primary Care Network, Br Med J, 300, pp. 582-586, (1990)

[8]

Bain J., Justification for antibiotic use in general practice, Brmedj, 300, pp. 1006-1007, (1990)

[9]

De Melker R.A., Kuyvenhoven M.M., Management of upper respiratory tract infection in Dutch general practice, Br J Gen Pract, 41, pp. 504-507, (1991)

[10]

Pichichero M.E., Culture and antigen detection tests for streptococcal tonsillopharyngitis, Am Fam Physician, 45, pp. 199-205, (1992)

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