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Antibiotic use for airway infections in Norwegian children—A national register‐based study
Aim Respiratory tract infections (RTIs) are major contributors to childhood antibiotic use. We aimed to investigate geographical and temporal trends in the prescription of antibiotics and consultations for RTIs in children
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| Published in: | Acta Paediatrica 2024-03, Vol.113 (3), p.537-543 |
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| Main Authors: | , , |
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| Language: | English |
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| container_end_page | 543 |
| container_issue | 3 |
| container_start_page | 537 |
| container_title | Acta Paediatrica |
| container_volume | 113 |
| creator | Rydland, Eva Høye, Sigurd Størdal, Ketil |
| description | Aim
Respiratory tract infections (RTIs) are major contributors to childhood antibiotic use. We aimed to investigate geographical and temporal trends in the prescription of antibiotics and consultations for RTIs in children |
| doi_str_mv | 10.1111/apa.17052 |
| format | article |
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Respiratory tract infections (RTIs) are major contributors to childhood antibiotic use. We aimed to investigate geographical and temporal trends in the prescription of antibiotics and consultations for RTIs in children <18 years living in Norway from 2010 to 2017.
Methods
In a nationwide observational study, we analysed antibiotic prescriptions from the Norwegian Prescription Database and reimbursed contacts from primary care physicians. We limited the study to airway antibiotics and diagnostic codes indicating RTIs.
Results
Antibiotic prescriptions due to an RTI varied from 75 to 134 per 1000 consultation due to RTI across counties in Norway (relative risk 1.79, 95% CI 1.68–1.90 for highest compared to lowest). The use of health care varied from 414 to 585 consultations for RTI per 1000 inhabitant/year (relative risk 1.43, 95% CI 1.41–1.44 for highest compared to lowest). From 2010 to 2017, we observed a 21% reduction in antibiotic prescriptions per RTI consultation and of 6% for the number of consultations for an RTI. At the county level, the use of health care was positively associated with the proportion of RTIs that resulted in antibiotic prescription.
Conclusion
We found a reduction in doctors' antibiotic prescription and the use of health care for RTIs, and a variation across counties.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.17052</identifier><identifier>PMID: 38031498</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Anti-Bacterial Agents - therapeutic use ; antibiotic ; Antibiotics ; Child ; Children ; Health care ; health care use ; Humans ; Norway - epidemiology ; Practice Patterns, Physicians ; prescription ; Prescriptions ; Primary care ; Referral and Consultation ; Respiratory tract infection ; Respiratory Tract Infections - drug therapy ; Respiratory Tract Infections - epidemiology</subject><ispartof>Acta Paediatrica, 2024-03, Vol.113 (3), p.537-543</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3732-8b57ad877ce52da5c0d7926082700673b166fe3340b7cd2649ca37c1bf793e3b3</cites><orcidid>0000-0002-2620-7646</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,26565,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38031498$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rydland, Eva</creatorcontrib><creatorcontrib>Høye, Sigurd</creatorcontrib><creatorcontrib>Størdal, Ketil</creatorcontrib><title>Antibiotic use for airway infections in Norwegian children—A national register‐based study</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
Respiratory tract infections (RTIs) are major contributors to childhood antibiotic use. We aimed to investigate geographical and temporal trends in the prescription of antibiotics and consultations for RTIs in children <18 years living in Norway from 2010 to 2017.
Methods
In a nationwide observational study, we analysed antibiotic prescriptions from the Norwegian Prescription Database and reimbursed contacts from primary care physicians. We limited the study to airway antibiotics and diagnostic codes indicating RTIs.
Results
Antibiotic prescriptions due to an RTI varied from 75 to 134 per 1000 consultation due to RTI across counties in Norway (relative risk 1.79, 95% CI 1.68–1.90 for highest compared to lowest). The use of health care varied from 414 to 585 consultations for RTI per 1000 inhabitant/year (relative risk 1.43, 95% CI 1.41–1.44 for highest compared to lowest). From 2010 to 2017, we observed a 21% reduction in antibiotic prescriptions per RTI consultation and of 6% for the number of consultations for an RTI. At the county level, the use of health care was positively associated with the proportion of RTIs that resulted in antibiotic prescription.
Conclusion
We found a reduction in doctors' antibiotic prescription and the use of health care for RTIs, and a variation across counties.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>antibiotic</subject><subject>Antibiotics</subject><subject>Child</subject><subject>Children</subject><subject>Health care</subject><subject>health care use</subject><subject>Humans</subject><subject>Norway - epidemiology</subject><subject>Practice Patterns, Physicians</subject><subject>prescription</subject><subject>Prescriptions</subject><subject>Primary care</subject><subject>Referral and Consultation</subject><subject>Respiratory tract infection</subject><subject>Respiratory Tract Infections - drug therapy</subject><subject>Respiratory Tract Infections - epidemiology</subject><issn>0803-5253</issn><issn>1651-2227</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>3HK</sourceid><recordid>eNp10btOwzAUBmALgaAUBl4AWWKBIa0vcZyMUcVNQsAAK5bjOOAqtYudqOrWR2DgCXkSXAoMSHiwLZ1P_7F1ADjCaITjGsu5HGGOGNkCA5wxnBBC-DYYoBzRhBFG98B-CFOECC3SbBfs0VjAaZEPwFNpO1MZ1xkF-6Bh4zyUxi_kEhrbaNUZZ0O8wlvnF_rZSAvVi2lrr-3H6r2EVq6FbKGPxdBp_7F6q2TQNQxdXy8PwE4j26APv88heLw4f5hcJTd3l9eT8iZRlFOS5BXjss45V5qRWjKFal6QDOWEI5RxWuEsazSlKaq4qkmWFkpSrnDV8IJqWtEhgJtc5eMrjBXWeSkwyhlZ73lBIzndkLl3r70OnZiZoHTbSqtdHwTJC8YxThmO9OQPnbrex19GVRCGOCYpiersp6cLwetGzL2ZSb-MHcV6LiLORXzNJdrj78S-mun6V_4MIoLxBixMq5f_J4nyvtxEfgI_zpZ0</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Rydland, Eva</creator><creator>Høye, Sigurd</creator><creator>Størdal, Ketil</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>3HK</scope><orcidid>https://orcid.org/0000-0002-2620-7646</orcidid></search><sort><creationdate>202403</creationdate><title>Antibiotic use for airway infections in Norwegian children—A national register‐based study</title><author>Rydland, Eva ; Høye, Sigurd ; Størdal, Ketil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3732-8b57ad877ce52da5c0d7926082700673b166fe3340b7cd2649ca37c1bf793e3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>antibiotic</topic><topic>Antibiotics</topic><topic>Child</topic><topic>Children</topic><topic>Health care</topic><topic>health care use</topic><topic>Humans</topic><topic>Norway - epidemiology</topic><topic>Practice Patterns, Physicians</topic><topic>prescription</topic><topic>Prescriptions</topic><topic>Primary care</topic><topic>Referral and Consultation</topic><topic>Respiratory tract infection</topic><topic>Respiratory Tract Infections - drug therapy</topic><topic>Respiratory Tract Infections - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rydland, Eva</creatorcontrib><creatorcontrib>Høye, Sigurd</creatorcontrib><creatorcontrib>Størdal, Ketil</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>NORA - Norwegian Open Research Archives</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rydland, Eva</au><au>Høye, Sigurd</au><au>Størdal, Ketil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antibiotic use for airway infections in Norwegian children—A national register‐based study</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2024-03</date><risdate>2024</risdate><volume>113</volume><issue>3</issue><spage>537</spage><epage>543</epage><pages>537-543</pages><issn>0803-5253</issn><issn>1651-2227</issn><eissn>1651-2227</eissn><abstract>Aim
Respiratory tract infections (RTIs) are major contributors to childhood antibiotic use. We aimed to investigate geographical and temporal trends in the prescription of antibiotics and consultations for RTIs in children <18 years living in Norway from 2010 to 2017.
Methods
In a nationwide observational study, we analysed antibiotic prescriptions from the Norwegian Prescription Database and reimbursed contacts from primary care physicians. We limited the study to airway antibiotics and diagnostic codes indicating RTIs.
Results
Antibiotic prescriptions due to an RTI varied from 75 to 134 per 1000 consultation due to RTI across counties in Norway (relative risk 1.79, 95% CI 1.68–1.90 for highest compared to lowest). The use of health care varied from 414 to 585 consultations for RTI per 1000 inhabitant/year (relative risk 1.43, 95% CI 1.41–1.44 for highest compared to lowest). From 2010 to 2017, we observed a 21% reduction in antibiotic prescriptions per RTI consultation and of 6% for the number of consultations for an RTI. At the county level, the use of health care was positively associated with the proportion of RTIs that resulted in antibiotic prescription.
Conclusion
We found a reduction in doctors' antibiotic prescription and the use of health care for RTIs, and a variation across counties.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38031498</pmid><doi>10.1111/apa.17052</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2620-7646</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0803-5253 |
| ispartof | Acta Paediatrica, 2024-03, Vol.113 (3), p.537-543 |
| issn | 0803-5253 1651-2227 1651-2227 |
| language | eng |
| recordid | cdi_cristin_nora_10852_108893 |
| source | Wiley:Jisc Collections:Wiley Read and Publish Open Access 2024-2025 (reading list); NORA - Norwegian Open Research Archives |
| subjects | Anti-Bacterial Agents - therapeutic use antibiotic Antibiotics Child Children Health care health care use Humans Norway - epidemiology Practice Patterns, Physicians prescription Prescriptions Primary care Referral and Consultation Respiratory tract infection Respiratory Tract Infections - drug therapy Respiratory Tract Infections - epidemiology |
| title | Antibiotic use for airway infections in Norwegian children—A national register‐based study |
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