BACKGROUND Limited evidence suggests that delayed prescribing may influence future consultation behaviour. AIM To assess the effects of antibiotic prescribing strategy on reconsultation in the year following presentation with acute lower respiratory tract infection (LRTI). DESIGN OF STUDY Balanced factorial randomised trial. SETTING Primary care. METHOD Eight hundred and seven subjects,...

OBJECTIVES to evaluate the effect of two interventions on reducing antibiotic prescription in pharyngitis. METHODS a prospective, non-randomized, before-after controlled study was carried out in primary care centres throughout Spain. General practitioners (GPs) registered all cases of pharyngitis during a 3 week period before and after two types of intervention in 2008 and 2009, respectively....

OBJECTIVES To compare the appropriateness of antibiotic treatment prescribed in an emergency department (ED) of a tertiary medical centre on weekdays and weekends. METHODS During a 1 month period, medical charts of 1029 ED visits for patients who were discharged from the ED were reviewed. Data of patients who were discharged with antibiotics were blind evaluated by two infectious disease spec...

Abstract Aim: To evaluate guideline compliance of antibiotics prescription in Emergency Department (ED). improve documentation antibiotic prescription. highlight the need for good stewardship. optimise use antibiotics. Method A cross-sectional, retrospective patient record review was conducted regarding over 1 month Sheffield Children’s Hospital ED. All prescriptions that period were collected....

INTRODUCTION Antimicrobial resistance is a worldwide threat to public health. Acute respiratory tract infections are the main reason for antibiotic prescribing in the Spanish paediatric population. The aim of the study was to describe the frequency of antibiotic prescription and their pattern of use in acute respiratory tract infections diagnosed in children in Primary Care in Aragón (Spain). ...

BACKGROUND Antibiotics are responsible for most dramatic improvement in medical therapy in history. These medications contributed significantly to the decreasing mortality and morbidity when prescribed based on evidence of microbial infection. OBJECTIVE The aim of this study was to determine the prevalence and predictors of self-prescription with antibiotics in Al Wazarat Health Center, Riyad...

OBJECTIVE To test the potential association between time spent with a doctor and antibiotic overprescriptions in case of the common cold, runny nose, bronchitis, chest colds, flu, sore throats, and fluid in the middle ear. DESIGN Cross-sectional study. SETTING Office-based physicians in the US. PARTICIPANTS A total of 261,623 patient visits recorded to office-based physicians in the US. ...

PURPOSE A previous meta-analysis of randomized trials did not confirm findings from observational studies that suggested that statins reduce the risk of infection. However, animal experiments indicate that statins may be more effective in reducing the risk and/or the severity of infection among patients with diabetes. Hence, we evaluated the effect of statins on antibiotic prescriptions (a prox...

BACKGROUND Upper respiratory tract infection (URTI) has a significant healthcare burden worldwide. Considerable resources are consumed through health care consultations and prescribed treatment, despite evidence for little or no effect on recovery. Patterns of consultations and care including use of symptomatic medications and antibiotics for upper respiratory tract infections are poorly descri...

BACKGROUND Viral respiratory infections are common worldwide and range from completely benign disease to life-threatening illness. Symptoms can be unspecific, and an etiologic diagnosis is rarely established because of a lack of suitable diagnostic tools. Improper use of antibiotics is common in this setting, which is detrimental in light of the development of bacterial resistance. It has been ...