Impact of implementing French antibiotic guidelines for acute respiratory-tract infections in a paediatric emergency department, 2005–2009
Acute respiratory tract infections (ARTIs) are the main reason for antibiotic prescription in children. In 2005, the French Drug Agency published guidelines to minimise inappropriate use of antibiotics for ARTI. The purpose of this study was to assess the impact of implementing these guidelines in a...
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| Veröffentlicht in: | European journal of clinical microbiology & infectious diseases 2012-07, Vol.31 (7), p.1295-1303 |
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| creator | Angoulvant, F. Skurnik, D. Bellanger, H. Abdoul, H. Bellettre, X. Morin, L. Aptecar, M. Galli-Gibertini, G. Bourdon, O. Doit, C. Faye, A. Mercier, J.-C. Cohen, R. Alberti, C. |
| description | Acute respiratory tract infections (ARTIs) are the main reason for antibiotic prescription in children. In 2005, the French Drug Agency published guidelines to minimise inappropriate use of antibiotics for ARTI. The purpose of this study was to assess the impact of implementing these guidelines in a paediatric emergency department. We retrospectively analysed data collected prospectively in a French paediatric emergency department from November 2005 (date of guideline implementation) to October 2009. For each child diagnosed with ARTI, we collected age, diagnosis, and prescribed antibiotics. We computed antibiotic prescription rates in the study population. During the study period, 53,055 children were diagnosed with ARTI and 59% of the 22,198 antibiotic prescriptions given at discharge were related to ARTI. The proportion of ARTI patients given antibiotic prescriptions fell from 32.1% during the first year to 21% in year 4 (
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| doi_str_mv | 10.1007/s10096-011-1442-4 |
| format | Article |
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p
< 10
−4
, Cochran-Armitage test). Amoxicillin-clavulanic acid and amoxicillin accounted for 50% and 34% of antibiotic prescriptions for ARTI, respectively. French antibiotic guidelines led to significant decreases in antibiotic prescription for ARTI in our paediatric emergency department.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-011-1442-4</identifier><identifier>PMID: 22002230</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Anti-Bacterial Agents - administration & dosage ; Antibacterial agents ; Antibiotics ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Bacteria ; Bacterial Infections - drug therapy ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Child ; Child, Preschool ; Drug Prescriptions - statistics & numerical data ; Drug resistance ; Drug Therapy - standards ; Ear diseases ; Emergency medical care ; Emergency Medical Services ; Female ; France ; Health Services Research ; Hospitals ; Hospitals, Pediatric ; Humans ; Infant ; Infant, Newborn ; Infections ; Infectious diseases ; Internal Medicine ; Male ; Medical Microbiology ; Medical sciences ; Patients ; Pediatrics ; Pharmacology. Drug treatments ; Practice Guidelines as Topic ; Prescriptions ; Prospective Studies ; Respiratory tract ; Respiratory Tract Infections - drug therapy</subject><ispartof>European journal of clinical microbiology & infectious diseases, 2012-07, Vol.31 (7), p.1295-1303</ispartof><rights>Springer-Verlag 2011</rights><rights>2015 INIST-CNRS</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-9142f9767a0991bce5b57d004f55044795f3eb3391dd3f49c2780e38d4252e0f3</citedby><cites>FETCH-LOGICAL-c402t-9142f9767a0991bce5b57d004f55044795f3eb3391dd3f49c2780e38d4252e0f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10096-011-1442-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10096-011-1442-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25981133$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22002230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Angoulvant, F.</creatorcontrib><creatorcontrib>Skurnik, D.</creatorcontrib><creatorcontrib>Bellanger, H.</creatorcontrib><creatorcontrib>Abdoul, H.</creatorcontrib><creatorcontrib>Bellettre, X.</creatorcontrib><creatorcontrib>Morin, L.</creatorcontrib><creatorcontrib>Aptecar, M.</creatorcontrib><creatorcontrib>Galli-Gibertini, G.</creatorcontrib><creatorcontrib>Bourdon, O.</creatorcontrib><creatorcontrib>Doit, C.</creatorcontrib><creatorcontrib>Faye, A.</creatorcontrib><creatorcontrib>Mercier, J.-C.</creatorcontrib><creatorcontrib>Cohen, R.</creatorcontrib><creatorcontrib>Alberti, C.</creatorcontrib><title>Impact of implementing French antibiotic guidelines for acute respiratory-tract infections in a paediatric emergency department, 2005–2009</title><title>European journal of clinical microbiology & infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>Acute respiratory tract infections (ARTIs) are the main reason for antibiotic prescription in children. In 2005, the French Drug Agency published guidelines to minimise inappropriate use of antibiotics for ARTI. The purpose of this study was to assess the impact of implementing these guidelines in a paediatric emergency department. We retrospectively analysed data collected prospectively in a French paediatric emergency department from November 2005 (date of guideline implementation) to October 2009. For each child diagnosed with ARTI, we collected age, diagnosis, and prescribed antibiotics. We computed antibiotic prescription rates in the study population. During the study period, 53,055 children were diagnosed with ARTI and 59% of the 22,198 antibiotic prescriptions given at discharge were related to ARTI. The proportion of ARTI patients given antibiotic prescriptions fell from 32.1% during the first year to 21% in year 4 (
p
< 10
−4
, Cochran-Armitage test). Amoxicillin-clavulanic acid and amoxicillin accounted for 50% and 34% of antibiotic prescriptions for ARTI, respectively. French antibiotic guidelines led to significant decreases in antibiotic prescription for ARTI in our paediatric emergency department.</description><subject>Adolescent</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Antibacterial agents</subject><subject>Antibiotics</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Bacteria</subject><subject>Bacterial Infections - drug therapy</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Drug Prescriptions - statistics & numerical data</subject><subject>Drug resistance</subject><subject>Drug Therapy - standards</subject><subject>Ear diseases</subject><subject>Emergency medical care</subject><subject>Emergency Medical Services</subject><subject>Female</subject><subject>France</subject><subject>Health Services Research</subject><subject>Hospitals</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical Microbiology</subject><subject>Medical sciences</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pharmacology. 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In 2005, the French Drug Agency published guidelines to minimise inappropriate use of antibiotics for ARTI. The purpose of this study was to assess the impact of implementing these guidelines in a paediatric emergency department. We retrospectively analysed data collected prospectively in a French paediatric emergency department from November 2005 (date of guideline implementation) to October 2009. For each child diagnosed with ARTI, we collected age, diagnosis, and prescribed antibiotics. We computed antibiotic prescription rates in the study population. During the study period, 53,055 children were diagnosed with ARTI and 59% of the 22,198 antibiotic prescriptions given at discharge were related to ARTI. The proportion of ARTI patients given antibiotic prescriptions fell from 32.1% during the first year to 21% in year 4 (
p
< 10
−4
, Cochran-Armitage test). Amoxicillin-clavulanic acid and amoxicillin accounted for 50% and 34% of antibiotic prescriptions for ARTI, respectively. French antibiotic guidelines led to significant decreases in antibiotic prescription for ARTI in our paediatric emergency department.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22002230</pmid><doi>10.1007/s10096-011-1442-4</doi><tpages>9</tpages></addata></record> |
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| subjects | Adolescent Anti-Bacterial Agents - administration & dosage Antibacterial agents Antibiotics Antibiotics. Antiinfectious agents. Antiparasitic agents Bacteria Bacterial Infections - drug therapy Biological and medical sciences Biomedical and Life Sciences Biomedicine Child Child, Preschool Drug Prescriptions - statistics & numerical data Drug resistance Drug Therapy - standards Ear diseases Emergency medical care Emergency Medical Services Female France Health Services Research Hospitals Hospitals, Pediatric Humans Infant Infant, Newborn Infections Infectious diseases Internal Medicine Male Medical Microbiology Medical sciences Patients Pediatrics Pharmacology. Drug treatments Practice Guidelines as Topic Prescriptions Prospective Studies Respiratory tract Respiratory Tract Infections - drug therapy |
| title | Impact of implementing French antibiotic guidelines for acute respiratory-tract infections in a paediatric emergency department, 2005–2009 |
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