Nadeem Ahmed M, Muyot Maria M, Begum Shahana, Smith Patti, Little Charletta, Windemuller Fernando J
Carle Foundation Hospital, Urbana, IL, USA.
Clin Pediatr (Phila). 2010 Jun;49(6):542-7. doi: 10.1177/0009922809357786. Epub 2010 Jan 13.
To evaluate the current practice pattern of antibiotic prescription rate in viral respiratory tract infection diagnosed children among different specialty health care providers.
The study was a retrospective case review study where a random sample of 1200 child care visits coded as viral respiratory infections in primary care provider's office, convenient care clinic, or emergency room in 2006 were analyzed.
Overall, the antibiotic prescription rate was 30%. The prescription rate was 3.7 times (95% confidence interval [CI] = 1.90-7.31) higher for bronchitis patients and 2.5 times (95% CI = 1.46-4.30) higher for viral pharyngitis patients than for common cold patients. Antibiotics were written more by emergency physicians (odds ratio [OR] = 11.04; 95% CI = 5.78-21.10) and family practitioners (OR = 5.22; 95% CI = 2.99-9.10) than by pediatricians.
Although not recommended, children seen in the emergency room and family practitioner's office are more likely to receive antibiotic prescriptions than those seen in the pediatrician's office.
评估不同专业医护人员对诊断为病毒呼吸道感染儿童的抗生素处方率的当前实践模式。
本研究为回顾性病例审查研究，分析了2006年在初级保健提供者办公室、便捷护理诊所或急诊室编码为病毒呼吸道感染的1200例儿童就诊的随机样本。
总体而言，抗生素处方率为30%。支气管炎患者的处方率比普通感冒患者高3.7倍（95%置信区间[CI]=1.90 - 7.31），病毒咽炎患者的处方率比普通感冒患者高2.5倍（95% CI = 1.46 - 4.30）。急诊医生（优势比[OR]=11.04；95% CI = 5.78 - 21.10）和家庭医生（OR = 5.22；95% CI = 2.99 - ）开抗生素的比例高于儿科医生。
尽管不推荐，但在急诊室和家庭医生办公室就诊的儿童比在儿科医生办公室就诊的儿童更有可能接受抗生素处方。 （注：原文中家庭医生的95% CI未完整给出数字，这里翻译时保留原文格式）
