A Comparative Study of Antibiotic Prescription Rates for Upper Respiratory Tract Infections and Acute Bronchitis after Seven Years of Antibiotic Smart Use Project Implemented in Samchuk Hospital, Suphan Buri - การศึกษาเปรียบเทียบอัตราการใช้ยาปฏิชีวนะ เพื่อรักษาผู้ป่วยติดเชื้อทางเดินหายใจส่วนบนและหลอดลมอักเสบเฉียบพลัน ภายหลังการดำเนินโครงการใช้ยาปฏิชีวนะอย่างสมเหตุผลมาแล้ว 7 ปี ในโรงพยาบาลสามชุก สุพรรณบุรี
Year: 2019
Type: article
Study design: Observational Study
Abstract: Antibiotic resistance is a major health problem worldwide. It relates to misuses and overuses of antibiotics, especially in most of the patients with upper respiratory tract infections (URI) and acute bronchitis. Decreasing the use of antibiotics is important to reduce the problem of antibiotics resistance. Objective: The aim of this study was to compare antibiotic prescription rates between 2010 and 2017 fiscal years. Methods: A retrospective comparative study was conducted in patients with upper respiratory tract infections and acute bronchitis who were treated for outpatient treatment according to defined disease codes: 9,591 visits in fiscal year 2010 and 9,286 visits in fiscal year 2017. The data were analyzed by frequency, percentage, mean and standard deviation using chi-square test. Result: Antibiotic prescription rate between fiscal year 2010 and 2017 was decreased (73.1% and 38.4% respectively; p<0.001). The most commonly used age groups were 18 to 49 years old (77.2% and 48.2% respectively; p<0.001). Antibiotic prescription rates were also respectively decreased in acute nasopharyngitis (13.0% and 4.3%; p<0.014), acute pharyngitis (92.7% and 77.3%; p<0.001), acute upper respiratory tract infection of multiple and unspecified sites (38.5% and 12.3%; p<0.001), acute bronchitis (66.9% and 45.9%; p<0.001) and otitis media/perforation of tympanic membrane (95.7% and 83.8%; p=0.001), but the diagnosis of acute tonsillitis was increased (82.7% and 87.3% respectively; p<0.001). The most commonly used antibiotics in the fiscal year 2010 and 2017 were penicillins (73.5% and 70.5% respectively; p<0.001). Conclusion: The use of antibiotics prescription rate declined in the latest fiscal year. It should be tracked down and reduced to the appropriate level.
Source: Region 4-5 Medical Journal
Author: M.D. Wiwat Rungsang
Language: Thai
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3043393443