Outpatient Antibiotic Prescribing Patterns and Appropriateness for Children in Primary Healthcare Settings in Beijing City, China, 2017-2019

(1) Background: Few studies have focused on antibiotic use and appropriateness in children in primary health institutions (PHIs). This study aimed to identify the patterns and appropriateness of antibiotic use for children in PHIs in Beijing, China. (2) Methods: Outpatient prescriptions of 327 PHIs...

Full description

Saved in:
Bibliographic Details
Published in:Antibiotics (Basel) 2021-10, Vol.10 (10), p.1248
Main Authors: Wushouer, Haishaerjiang, Du, Kexin, Chen, Shicai, Zhou, Yue, Zheng, Bo, Guan, Xiaodong, Shi, Luwen
Format: Article
Language:English
Subjects:
antibiotic use
Antibiotics
Antimicrobial agents
appropriateness
Bronchitis
Children
Drug resistance
Economic development
Health care
Pediatrics
Prescriptions
primary health institutions
Qualitative research
Rural areas
Surveillance
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c499t-6ec3c72484ff9698ef45fc79dea6d848eda96d9222c43948dc4eaf1e50971c383
cites cdi_FETCH-LOGICAL-c499t-6ec3c72484ff9698ef45fc79dea6d848eda96d9222c43948dc4eaf1e50971c383
container_end_page
container_issue 10
container_start_page 1248
container_title Antibiotics (Basel)
container_volume 10
creator Wushouer, Haishaerjiang
Du, Kexin
Chen, Shicai
Zhou, Yue
Zheng, Bo
Guan, Xiaodong
Shi, Luwen
description (1) Background: Few studies have focused on antibiotic use and appropriateness in children in primary health institutions (PHIs). This study aimed to identify the patterns and appropriateness of antibiotic use for children in PHIs in Beijing, China. (2) Methods: Outpatient prescriptions of 327 PHIs from 2017 to 2019 for patients
doi_str_mv 10.3390/antibiotics10101248
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_5495e0d600094b9386a6e570f935a921</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_5495e0d600094b9386a6e570f935a921</doaj_id><sourcerecordid>2584794125</sourcerecordid><originalsourceid>FETCH-LOGICAL-c499t-6ec3c72484ff9698ef45fc79dea6d848eda96d9222c43948dc4eaf1e50971c383</originalsourceid><addsrcrecordid>eNptklFrFDEQxxdRbKn9BIIEfPGhp9kkm01ehPNQWyi0oD6HuezsXY69ZE2yQr-DH9psrx6tmEAyyfznx8wwVfW6pu851_QD-OzWLmRnU03LZkI9q04ZbfVCcsWeP7JPqvOUdrQsXXNF1cvqhAtZDKZOq983Ux4hO_SZLI9Mchsx2VhefkNuIWeMPhHwHVmOYwxjdJDRY0qkD5Gstm7oInrifAl0e4h35BJhyFsLEck3zLlw0uz-hG43M1cu313MgR4uCKN1uyiHflW96GFIeP5wn1U_vnz-vrpcXN98vVotrxdWaJ0XEi23balY9L2WWmEvmt62ukOQnRIKO9Cy04wxK7gWqrMCoa-xobqtLVf8rLo6cLsAOzMeUjYBnLn_CHFjIJY2DGgaoRuknZy7J9aaKwkSm5b2mjegWV1YHw-scVrvsbOlkRGGJ9CnHu-2ZhN-GdVwJtUMePcAiOHnhCmbvUsWhwE8hikZ1ijRalGzpkjf_iPdhSn60qp7FaeCt7Ko-EFlY0gpYn9MpqZmHh7zn-EpUW8e13GM-Tsq_A91rsMb</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2584304376</pqid></control><display><type>article</type><title>Outpatient Antibiotic Prescribing Patterns and Appropriateness for Children in Primary Healthcare Settings in Beijing City, China, 2017-2019</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Wushouer, Haishaerjiang ; Du, Kexin ; Chen, Shicai ; Zhou, Yue ; Zheng, Bo ; Guan, Xiaodong ; Shi, Luwen</creator><creatorcontrib>Wushouer, Haishaerjiang ; Du, Kexin ; Chen, Shicai ; Zhou, Yue ; Zheng, Bo ; Guan, Xiaodong ; Shi, Luwen</creatorcontrib><description>(1) Background: Few studies have focused on antibiotic use and appropriateness in children in primary health institutions (PHIs). This study aimed to identify the patterns and appropriateness of antibiotic use for children in PHIs in Beijing, China. (2) Methods: Outpatient prescriptions of 327 PHIs from 2017 to 2019 for patients &lt;18 years old were collected. Prescriptions were described using quantity indicators. Antibiotics were categorized according to ATC classification J01 and Access, Watch, Reserve grouping. Appropriateness was reviewed by experts using three subtypes of irrational prescriptions (irregular, inappropriate, and abnormal). (3) Results: 20,618 prescriptions were collected in total. The antibiotic prescription rate (APR) was 15.1% ( = 3113). Among antibiotic prescriptions, J01FA Macrolides were the most used ( = 1068, 34.9%). The Watch group constituted 89.0% ( = 2818) of total antibiotic use. Bronchitis ( = 1059, 35.2%) was the most common diagnosis. A total of 292 instances of irrational antibiotic use were identified, with inappropriate prescriptions being the most prevalent subtype ( = 233, 79.8%). (4) Conclusion: Although APR for children in PHIs in Beijing was relatively low, the pattern of antibiotic use differed from other countries. Further studies are needed to optimize antibiotic use for children in PHIs under different levels of economic development.</description><identifier>ISSN: 2079-6382</identifier><identifier>EISSN: 2079-6382</identifier><identifier>DOI: 10.3390/antibiotics10101248</identifier><identifier>PMID: 34680828</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>antibiotic use ; Antibiotics ; Antimicrobial agents ; appropriateness ; Bronchitis ; Children ; Drug resistance ; Economic development ; Health care ; Pediatrics ; Prescriptions ; primary health institutions ; Qualitative research ; Rural areas ; Surveillance</subject><ispartof>Antibiotics (Basel), 2021-10, Vol.10 (10), p.1248</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-6ec3c72484ff9698ef45fc79dea6d848eda96d9222c43948dc4eaf1e50971c383</citedby><cites>FETCH-LOGICAL-c499t-6ec3c72484ff9698ef45fc79dea6d848eda96d9222c43948dc4eaf1e50971c383</cites><orcidid>0000-0003-1466-9840 ; 0000-0002-1290-3827</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2584304376/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2584304376?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34680828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wushouer, Haishaerjiang</creatorcontrib><creatorcontrib>Du, Kexin</creatorcontrib><creatorcontrib>Chen, Shicai</creatorcontrib><creatorcontrib>Zhou, Yue</creatorcontrib><creatorcontrib>Zheng, Bo</creatorcontrib><creatorcontrib>Guan, Xiaodong</creatorcontrib><creatorcontrib>Shi, Luwen</creatorcontrib><title>Outpatient Antibiotic Prescribing Patterns and Appropriateness for Children in Primary Healthcare Settings in Beijing City, China, 2017-2019</title><title>Antibiotics (Basel)</title><addtitle>Antibiotics (Basel)</addtitle><description>(1) Background: Few studies have focused on antibiotic use and appropriateness in children in primary health institutions (PHIs). This study aimed to identify the patterns and appropriateness of antibiotic use for children in PHIs in Beijing, China. (2) Methods: Outpatient prescriptions of 327 PHIs from 2017 to 2019 for patients &lt;18 years old were collected. Prescriptions were described using quantity indicators. Antibiotics were categorized according to ATC classification J01 and Access, Watch, Reserve grouping. Appropriateness was reviewed by experts using three subtypes of irrational prescriptions (irregular, inappropriate, and abnormal). (3) Results: 20,618 prescriptions were collected in total. The antibiotic prescription rate (APR) was 15.1% ( = 3113). Among antibiotic prescriptions, J01FA Macrolides were the most used ( = 1068, 34.9%). The Watch group constituted 89.0% ( = 2818) of total antibiotic use. Bronchitis ( = 1059, 35.2%) was the most common diagnosis. A total of 292 instances of irrational antibiotic use were identified, with inappropriate prescriptions being the most prevalent subtype ( = 233, 79.8%). (4) Conclusion: Although APR for children in PHIs in Beijing was relatively low, the pattern of antibiotic use differed from other countries. Further studies are needed to optimize antibiotic use for children in PHIs under different levels of economic development.</description><subject>antibiotic use</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>appropriateness</subject><subject>Bronchitis</subject><subject>Children</subject><subject>Drug resistance</subject><subject>Economic development</subject><subject>Health care</subject><subject>Pediatrics</subject><subject>Prescriptions</subject><subject>primary health institutions</subject><subject>Qualitative research</subject><subject>Rural areas</subject><subject>Surveillance</subject><issn>2079-6382</issn><issn>2079-6382</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptklFrFDEQxxdRbKn9BIIEfPGhp9kkm01ehPNQWyi0oD6HuezsXY69ZE2yQr-DH9psrx6tmEAyyfznx8wwVfW6pu851_QD-OzWLmRnU03LZkI9q04ZbfVCcsWeP7JPqvOUdrQsXXNF1cvqhAtZDKZOq983Ux4hO_SZLI9Mchsx2VhefkNuIWeMPhHwHVmOYwxjdJDRY0qkD5Gstm7oInrifAl0e4h35BJhyFsLEck3zLlw0uz-hG43M1cu313MgR4uCKN1uyiHflW96GFIeP5wn1U_vnz-vrpcXN98vVotrxdWaJ0XEi23balY9L2WWmEvmt62ukOQnRIKO9Cy04wxK7gWqrMCoa-xobqtLVf8rLo6cLsAOzMeUjYBnLn_CHFjIJY2DGgaoRuknZy7J9aaKwkSm5b2mjegWV1YHw-scVrvsbOlkRGGJ9CnHu-2ZhN-GdVwJtUMePcAiOHnhCmbvUsWhwE8hikZ1ijRalGzpkjf_iPdhSn60qp7FaeCt7Ko-EFlY0gpYn9MpqZmHh7zn-EpUW8e13GM-Tsq_A91rsMb</recordid><startdate>20211014</startdate><enddate>20211014</enddate><creator>Wushouer, Haishaerjiang</creator><creator>Du, Kexin</creator><creator>Chen, Shicai</creator><creator>Zhou, Yue</creator><creator>Zheng, Bo</creator><creator>Guan, Xiaodong</creator><creator>Shi, Luwen</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-1466-9840</orcidid><orcidid>https://orcid.org/0000-0002-1290-3827</orcidid></search><sort><creationdate>20211014</creationdate><title>Outpatient Antibiotic Prescribing Patterns and Appropriateness for Children in Primary Healthcare Settings in Beijing City, China, 2017-2019</title><author>Wushouer, Haishaerjiang ; Du, Kexin ; Chen, Shicai ; Zhou, Yue ; Zheng, Bo ; Guan, Xiaodong ; Shi, Luwen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-6ec3c72484ff9698ef45fc79dea6d848eda96d9222c43948dc4eaf1e50971c383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>antibiotic use</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>appropriateness</topic><topic>Bronchitis</topic><topic>Children</topic><topic>Drug resistance</topic><topic>Economic development</topic><topic>Health care</topic><topic>Pediatrics</topic><topic>Prescriptions</topic><topic>primary health institutions</topic><topic>Qualitative research</topic><topic>Rural areas</topic><topic>Surveillance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wushouer, Haishaerjiang</creatorcontrib><creatorcontrib>Du, Kexin</creatorcontrib><creatorcontrib>Chen, Shicai</creatorcontrib><creatorcontrib>Zhou, Yue</creatorcontrib><creatorcontrib>Zheng, Bo</creatorcontrib><creatorcontrib>Guan, Xiaodong</creatorcontrib><creatorcontrib>Shi, Luwen</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>Proquest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Biological Sciences</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Antibiotics (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wushouer, Haishaerjiang</au><au>Du, Kexin</au><au>Chen, Shicai</au><au>Zhou, Yue</au><au>Zheng, Bo</au><au>Guan, Xiaodong</au><au>Shi, Luwen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outpatient Antibiotic Prescribing Patterns and Appropriateness for Children in Primary Healthcare Settings in Beijing City, China, 2017-2019</atitle><jtitle>Antibiotics (Basel)</jtitle><addtitle>Antibiotics (Basel)</addtitle><date>2021-10-14</date><risdate>2021</risdate><volume>10</volume><issue>10</issue><spage>1248</spage><pages>1248-</pages><issn>2079-6382</issn><eissn>2079-6382</eissn><abstract>(1) Background: Few studies have focused on antibiotic use and appropriateness in children in primary health institutions (PHIs). This study aimed to identify the patterns and appropriateness of antibiotic use for children in PHIs in Beijing, China. (2) Methods: Outpatient prescriptions of 327 PHIs from 2017 to 2019 for patients &lt;18 years old were collected. Prescriptions were described using quantity indicators. Antibiotics were categorized according to ATC classification J01 and Access, Watch, Reserve grouping. Appropriateness was reviewed by experts using three subtypes of irrational prescriptions (irregular, inappropriate, and abnormal). (3) Results: 20,618 prescriptions were collected in total. The antibiotic prescription rate (APR) was 15.1% ( = 3113). Among antibiotic prescriptions, J01FA Macrolides were the most used ( = 1068, 34.9%). The Watch group constituted 89.0% ( = 2818) of total antibiotic use. Bronchitis ( = 1059, 35.2%) was the most common diagnosis. A total of 292 instances of irrational antibiotic use were identified, with inappropriate prescriptions being the most prevalent subtype ( = 233, 79.8%). (4) Conclusion: Although APR for children in PHIs in Beijing was relatively low, the pattern of antibiotic use differed from other countries. Further studies are needed to optimize antibiotic use for children in PHIs under different levels of economic development.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>34680828</pmid><doi>10.3390/antibiotics10101248</doi><orcidid>https://orcid.org/0000-0003-1466-9840</orcidid><orcidid>https://orcid.org/0000-0002-1290-3827</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2079-6382
ispartof Antibiotics (Basel), 2021-10, Vol.10 (10), p.1248
issn 2079-6382
2079-6382
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_5495e0d600094b9386a6e570f935a921
source Publicly Available Content Database; PubMed Central
subjects antibiotic use
Antibiotics
Antimicrobial agents
appropriateness
Bronchitis
Children
Drug resistance
Economic development
Health care
Pediatrics
Prescriptions
primary health institutions
Qualitative research
Rural areas
Surveillance
title Outpatient Antibiotic Prescribing Patterns and Appropriateness for Children in Primary Healthcare Settings in Beijing City, China, 2017-2019
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T08%3A10%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Outpatient%20Antibiotic%20Prescribing%20Patterns%20and%20Appropriateness%20for%20Children%20in%20Primary%20Healthcare%20Settings%20in%20Beijing%20City,%20China,%202017-2019&rft.jtitle=Antibiotics%20(Basel)&rft.au=Wushouer,%20Haishaerjiang&rft.date=2021-10-14&rft.volume=10&rft.issue=10&rft.spage=1248&rft.pages=1248-&rft.issn=2079-6382&rft.eissn=2079-6382&rft_id=info:doi/10.3390/antibiotics10101248&rft_dat=%3Cproquest_doaj_%3E2584794125%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c499t-6ec3c72484ff9698ef45fc79dea6d848eda96d9222c43948dc4eaf1e50971c383%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2584304376&rft_id=info:pmid/34680828&rfr_iscdi=true