Antibiotic prescribing to adults with sore throat in the United States, 1997-2010.
نویسندگان
چکیده
Antibiotic Prescribing to AdultsWith Sore Throat in the United States, 1997-2010 Amongadults seeking carewith sore throat, theprevalenceof groupAStreptococcus (GAS) infection—theonlycommoncause of sore throat requiring antibiotics—is about 10%.1 Penicillin remains the antibiotic of choice. Penicillin is narrowspectrum, well-tolerated, and inexpensive, and GAS is universally susceptible to penicillin. We previously found that the antibiotic prescribing rate for adults making a visit with sore throat dropped fromabout 80% to 70%around 1993.2 Since then, the Centers for Disease Control and Prevention andothers have continuedefforts to reduce inappropriate antibiotic prescribing.3-5 To measure changes in antibiotic prescribing for adults with sore throat, we conducted a cross-sectional analysis of ambulatory visits in the United States.
منابع مشابه
Overprescribing and inappropriate antibiotic selection for children with pharyngitis in the United States, 1997-2010.
Overprescribing and Inappropriate Antibiotic Selection for ChildrenWith Pharyngitis in the United States, 1997-2010 Pharyngitis is a commonreason forpediatrichealthcarevisits.1 While viral infections account for themajority of pharyngitis episodes, groupAStreptococcus (GAS) is implicated inapproximately 37%of episodes among children.1 Antimicrobial treatment ofGASpharyngitis can shorten illness...
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OBJECTIVES The aim of this study was to assess whether it was possible to change clinical practice through the introduction of an evidence-based protocol for the management of sore throats. The impact of the changed clinical practice on patients was also assessed. METHOD An observational study was carried out comparing management of patients with sore throats in a semi-rural general practice ...
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Antibiotic treatment of adults with sore throat by community primary care physicians: a national survey, 1989-1999.
CONTEXT Most sore throats are due to viral upper respiratory tract infections. Group A beta-hemolytic streptococci (GABHS), the only common cause of sore throat warranting antibiotics, is cultured in 5% to 17% of adults with sore throat. The frequency of antibiotic use for pharyngitis has greatly exceeded the prevalence of GABHS, but less is known about specific classes of antibiotics used. Onl...
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عنوان ژورنال:
- JAMA internal medicine
دوره 174 1 شماره
صفحات -
تاریخ انتشار 2014