Does it really take longer not to prescribe antibiotics for viral respiratory tract infections in children?
Does it really take longer not to prescribe antibiotics for viral respiratory tract infections in children?
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DOI：
10.1016/j.ambp.2005.11.005
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发表时间：
2006-05-01
期刊：
影响因子：
--
通讯作者：
Shorr, Ronald I.
中科院分区：
文献类型：
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作者：
Hare, Marion E.;Gaur, Aditya H.;Shorr, Ronald I.
背景。-虽然在儿童中过度使用抗生素已经有了很好的记录，但很少有研究评估当抗生素处方或不处方时，病毒感染的就诊时间是否不同。为了研究医生就诊时间和抗生素处方之间的关系，为儿童病毒性呼吸道感染（RTI）。从1993-2003年全国门诊医疗调查（NAMCS）中获得的数据对儿童进行了调查（40分钟）。使用单变量和多变量分析，我们比较了自我报告的医生就诊时间时，抗生素，并没有规定为viralRTIs.Results-2739访问NAMCS数据库，代表全国119,926次访问，符合研究标准。在46，949次（39%）就诊时开具了抗生素-75%诊断为支气管炎，54%诊断为细支气管炎，30%诊断为感冒或URI。在调整了与医生就诊时间相关的因素后，抗生素处方或未处方时的就诊时间没有差异（分别为13.6 +/- 8.4和13.3 +/- 9.6分钟，P = 0.24）。虽然经常为儿童病毒性RTI开抗生素处方，但我们的研究结果并不支持这样的论点，即对病毒性RTI儿童“不开”抗生素需要更长的时间。
Background.-Although overuse of antibiotics in children has been well documented, few studies have evaluated if the visit time for viral infections varies when antibiotics are or are not prescribed.Objective.-To examine the relationship between physician visit time and antibiotic prescribing for children with viral respiratory tract infection (RTI).Methods.-Data obtained from the National Ambulatory Medical Care Survey (NAMCS) 1993-2003 were surveyed for children 40 minutes). Using univariate and multivariate analysis, we compared self-reported physician visit time when antibiotics were and were not prescribed for viral RTIs.Results-2739 visits from the NAMCS database, representing 119,926 visits nationally, met study criteria. Antibiotics were prescribed at 46,949 (39%) visits-75% with a diagnosis of bronchitis, 54% with bronchiolitis, and 30% with cold or URI. After adjusting for factors related to physician visit time, there was no difference in visit duration when antibiotics were or were not prescribed (13.6 +/- 8.4 and 13.3 +/- 9.6 minutes, respectively, P = 0.24).Conclusion.-While antibiotics prescribing for viral RTI in children occurred frequently, our findings do not support the contention that it takes longer 'not to prescribe' antibiotics for children with viral RTIs.