Prescribing antibiotics for children with dengue infection in Taiwan: who are at risk and who are high prescribers?

Inappropriate antibiotic use contributes to antimicrobial resistance, a global public health threat. The non-specific manifestations of dengue, itself a growing public health threat, lead to avoidable empiric antibiotic prescription, particularly in children. In this national pooled population-based...

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Bibliographic Details
Published in:International journal for quality in health care 2024-06, Vol.36 (2)
Main Authors: Shen, Yi-Jung, Lien, Chia-En, Chou, Yiing-Jenq, Tsai, Theodore, Huang, Nicole
Format: Article
Language:English
Subjects:
Adolescent
Anti-Bacterial Agents - therapeutic use
Child
Child, Preschool
Cross-Sectional Studies
Dengue - drug therapy
Dengue - epidemiology
Female
Humans
Inappropriate Prescribing - statistics & numerical data
Infant
Male
Practice Patterns, Physicians' - statistics & numerical data
Taiwan - epidemiology
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Summary:Inappropriate antibiotic use contributes to antimicrobial resistance, a global public health threat. The non-specific manifestations of dengue, itself a growing public health threat, lead to avoidable empiric antibiotic prescription, particularly in children. In this national pooled population-based cross-sectional study, we evaluated child and physician characteristics associated with antibiotics prescription in confirmed dengue cases in Taiwan. Linking national health care insurance claims and reports of confirmed dengue cases from 2008 to 2015, there were 7086 children with confirmed dengue with 21 744 outpatient visits and 2520 inpatient admissions. We assessed the presence of antibiotic prescription in outpatient and inpatient settings separately a week before or after the confirmation date. Logistic regression models with generalized estimating equations were applied to identify patient, practitioner, and other factors associated with antibiotic prescription. A total of 29.4% of children
ISSN:1353-4505
1464-3677
1464-3677
DOI:10.1093/intqhc/mzae052