Inappropriate prescribing of antibiotics to patients with acute bronchitis
Background/Aim. Inappropriate prescribing of antibiotics to the patients with acute bronchitis is frequent event in clinical practice with potentially serious consequences, although majority of treatment guidelines do not recommend it. The aim of this study was to reveal risk factors associated with...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2019-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700153P.pdf |
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| author | Petrović Marijana S. Antonić Roland A. Bagi Bojan I. Ilić Irena M. Kočović Aleksandar G. Milosavljević Miloš N. Nedović Nikola M. Pejčić Ana V. Vapljanin Minela Z. Šabanović Admir M. Janković Slobodan M. |
| author_facet | Petrović Marijana S. Antonić Roland A. Bagi Bojan I. Ilić Irena M. Kočović Aleksandar G. Milosavljević Miloš N. Nedović Nikola M. Pejčić Ana V. Vapljanin Minela Z. Šabanović Admir M. Janković Slobodan M. |
| author_sort | Petrović Marijana S. |
| collection | DOAJ |
| description | Background/Aim. Inappropriate prescribing of antibiotics to the patients with acute bronchitis is frequent event in clinical practice with potentially serious consequences, although majority of treatment guidelines do not recommend it. The aim of this study was to reveal risk factors associated with inappropriate prescribing of antibiotics to the patients with acute bronchitis in primary healthcare. Methods. This case/control study included the adult patients with acute bronchitis during the initial encounter with a general practitioner. Prescription of an antibiotic was an event that defined the case, and patients without prescribed antibiotic served as controls. Results. Antibiotics (mostly macrolides and beta-lactams) were prescribed to the majority of patients with diagnosis of acute bronchitis (78.5%). A significant association was found between antibiotic prescription rates and patient age, whether an attending physician is a specialist or not and the average number of patients a physician sees per day [ORadjustedwas 1.029 (1.007–1.052), 0.347 (0.147–0.818) and 0.957 (0.923–0.992), respectively]. Conclusion. When there is primary care encounter with patients suffering from acute bronchitis, older patients are more likely to receive inappropriate antibiotic prescription, especially if their physician is without specialist training and has less patient encounters in his/her office daily. |
| format | Article |
| id | doaj-art-e4c4d0a4737e463b9a6b16e3d92aba59 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-e4c4d0a4737e463b9a6b16e3d92aba592025-08-20T02:21:18ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176768468910.2298/VSP170731153P0042-84501700153PInappropriate prescribing of antibiotics to patients with acute bronchitisPetrović Marijana S.0Antonić Roland A.1Bagi Bojan I.2Ilić Irena M.3Kočović Aleksandar G.4Milosavljević Miloš N.5Nedović Nikola M.6Pejčić Ana V.7Vapljanin Minela Z.8Šabanović Admir M.9Janković Slobodan M.10University of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, SerbiaBackground/Aim. Inappropriate prescribing of antibiotics to the patients with acute bronchitis is frequent event in clinical practice with potentially serious consequences, although majority of treatment guidelines do not recommend it. The aim of this study was to reveal risk factors associated with inappropriate prescribing of antibiotics to the patients with acute bronchitis in primary healthcare. Methods. This case/control study included the adult patients with acute bronchitis during the initial encounter with a general practitioner. Prescription of an antibiotic was an event that defined the case, and patients without prescribed antibiotic served as controls. Results. Antibiotics (mostly macrolides and beta-lactams) were prescribed to the majority of patients with diagnosis of acute bronchitis (78.5%). A significant association was found between antibiotic prescription rates and patient age, whether an attending physician is a specialist or not and the average number of patients a physician sees per day [ORadjustedwas 1.029 (1.007–1.052), 0.347 (0.147–0.818) and 0.957 (0.923–0.992), respectively]. Conclusion. When there is primary care encounter with patients suffering from acute bronchitis, older patients are more likely to receive inappropriate antibiotic prescription, especially if their physician is without specialist training and has less patient encounters in his/her office daily.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700153P.pdfbronchitisanti-bacterial agentsrisk factorscomorbiditymedication errorsserbia |
| spellingShingle | Petrović Marijana S. Antonić Roland A. Bagi Bojan I. Ilić Irena M. Kočović Aleksandar G. Milosavljević Miloš N. Nedović Nikola M. Pejčić Ana V. Vapljanin Minela Z. Šabanović Admir M. Janković Slobodan M. Inappropriate prescribing of antibiotics to patients with acute bronchitis Vojnosanitetski Pregled bronchitis anti-bacterial agents risk factors comorbidity medication errors serbia |
| title | Inappropriate prescribing of antibiotics to patients with acute bronchitis |
| title_full | Inappropriate prescribing of antibiotics to patients with acute bronchitis |
| title_fullStr | Inappropriate prescribing of antibiotics to patients with acute bronchitis |
| title_full_unstemmed | Inappropriate prescribing of antibiotics to patients with acute bronchitis |
| title_short | Inappropriate prescribing of antibiotics to patients with acute bronchitis |
| title_sort | inappropriate prescribing of antibiotics to patients with acute bronchitis |
| topic | bronchitis anti-bacterial agents risk factors comorbidity medication errors serbia |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700153P.pdf |
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