PMID: 9194105Jun 1, 1997Paper

Patterns and determinants of use of antibiotics for acute respiratory tract infection in children in China

The Pediatric Infectious Disease Journal
L HuiH M Foy

Abstract

Use of antibiotics for acute respiratory infection (ARI) of presumed viral etiology is a worldwide problem. The World Health Organization (WHO) has provided guidelines for diagnosis and treatment of ARI for developing countries. Specially trained observers applied the WHO criteria to study the diagnosis and treatment of ARI given by 100 randomly selected health care workers (HCWs) in a rural county in China. A total of 750 cases of ARI were evaluated. Before the parents sought medical care, 47% of children in the county hospitals, 25% of those in the townships and 18% of those in the villages had already received antibiotics, available without prescription. Among the HCWs antibiotic abuse (antibiotics for presumably viral disease) was detected in the treatment of 97% of cases, and severe abuse (such as prescription of two incompatible antibiotics) was detected in 37%. Most (197 of 200) patients with bacterial disease received antibiotics, but inappropriate antibiotic treatment (dose or type) was observed in 63% of these cases. HCWs with university training and those with higher test scores on knowledge and attitude prescribed antibiotics more judiciously than those lacking those attributes. Abuse of antibiotics for ARI is a ser...Continue Reading

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Citations

Jul 4, 2006·Indian Journal of Pediatrics·Aditya H Gaur, B Keith English
Jun 25, 2003·Social Science & Medicine·Aryanti Radyowijati, Hilbrand Haak
Jul 27, 2004·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Elaine Larson, Lorena Grullon-Figueroa
Jul 24, 2001·The Pediatric Infectious Disease Journal·S O'ConnorS F Dowell
Jun 22, 2002·The Pediatric Infectious Disease Journal·Ya-Juan WangHeikki Peltola
Feb 12, 2004·The Pediatric Infectious Disease Journal·Elizabeth B NortonJanine Jason
Sep 16, 2006·Journal of Paediatrics and Child Health·C L TengAbdul Sallam Atiya
Mar 28, 2009·Pharmacoepidemiology and Drug Safety·Le Thi HoanPeter Allebeck
Apr 10, 2008·Tropical Medicine & International Health : TM & IH·C KristianssonM Larsson
Apr 9, 2008·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Usman HadiUNKNOWN Antimicrobial Resistance in Indonesia 'Prevalence and Prevention' study group
Feb 23, 2005·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Eelco BoonstraEnoch Ngome
Jun 28, 2014·Journal of Immigrant and Minority Health·Yuk Tsan WunWai Hung Raymond Yung

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