Primary care management of respiratory tract infections in Dutch preschool children

@article{Jansen2006PrimaryCM,
  title={Primary care management of respiratory tract infections in Dutch preschool children},
  author={Angelique G.S.C. Jansen and Elisabeth A. M. Sanders and Anne G. M. Schilder and Arno W Hoes and Vanya F G M de Jong and Eelko Hak},
  journal={Scandinavian Journal of Primary Health Care},
  year={2006},
  volume={24},
  pages={231 - 236},
  url={https://api.semanticscholar.org/CorpusID:9850214}
}
In the Netherlands most episodes of RTIs in preschool children were managed in primary care and this often involves prescription of antibiotics, where children younger than two years of age receive more often antibiotics for RTI and are also referred more, especially for AOM.
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32 Citations
Background Citations
10
Results Citations
1

32 Citations

Age-Specific Antibiotic Prescribing and Adherence to Guidelines in Pediatric Patients in Primary Care

Concerning adherence patterns include high antibiotic rates for bronchitis, particularly in adolescents, and underuse of narrow-spectrum penicillins in the 0–4 years group.

Antibiotic prescribing for children in primary care and adherence to treatment guidelines.

Most paediatric RTIs in the Netherlands continue to be treated with antibiotics conservatively, and potential aspects of concern are the inappropriate antibiotic prescribing for acute bronchitis and the underuse of some first-choice antibiotics.

Antibiotic Prescription in Febrile Children: A Cohort Study during Out-of-Hours Primary Care

Items associated with antibiotic prescription provide insight into the family physicians' decision-making process when assessing children with fever and can be used as targets for strategies to diminish antibiotic prescription.

Are children carrying the burden of broad-spectrum antibiotics in general practice? Prescription pattern for paediatric outpatients with respiratory tract infections in Norway

A low antibiotic prescription rate for childhood respiratory tract infections is found, however, figures indicate an overuse of macrolide antibiotics and penicillins with extended spectrum, more so than in the corresponding study including the adult population.

Referrals for recurrent respiratory tract infections including otitis media in young children.

Clinical outcomes in Mexican children with febrile acute upper respiratory tract infections: no impact of antibiotic therapy.

Can Appropriate Diagnosis and Treatment of Childhood Asthma Reduce Excessive Antibiotic Usage?

It is shown that appropriate diagnosis and treatment of childhood asthma significantly reduce the frequency of antibiotic usage and the number of asthmatic episodes.

Febrile Children at a General Practice Out-of-hours Service

Childhood fever occurs frequently in young children and is a common reason for parents to contact a general practitioner, increasing healthcare use and substantial antibiotic prescription rates in young febrile children.

Respiratory virus infections in febrile children presenting to a general practice out-of-hours service

In over 50% of all febrile children presenting at an OHS, a virus was found and the association between antibiotic prescription and the presence of a viral infection was high and not associated to the outcome of viral testing.

Point-of-care C-reactive protein to assist in primary care management of children with suspected non-serious lower respiratory tract infection: a randomised controlled trial

It is still uncertain whether POC CRP measurement in children with non-serious respiratory tract infection presenting to general practice can reduce the prescription of antibiotics.

33 References

Antibiotic prescribing for respiratory tract infections in Dutch primary care in relation to patient age and clinical entities.

Potential over-prescribing of antibiotics for RTIs occurs in the age group 31-65 years, not in children and the elderly, and in patients with upper RTIs, sinusitis and most likely acute bronchitis (contact-based).

Prescribing antibiotics for respiratory tract infections by GPs: management and prescriber characteristics.

Multiple linear regression analysis showed that the longer GPs had practised, the more frequently they prescribed antibiotics, especially in combination with relatively little knowledge about RTIs or the less time GPs felt they had available per patient.

Trends in prescribing antibiotics for children in Dutch general practice.

Antibiotic prescribing in children is still relatively low in the Netherlands, however, the prescription of broad-spectrum antibiotics for inappropriate diagnoses has increased, an unfavourable trend given the emerging bacterial resistance.

A Case-Control Study of Acute Respiratory Tract Infection in General Practice Patients in The Netherlands

It is confirmed that most ARTIs are viral and supports the reserved policy of prescribing antibiotics, and it is demonstrated that asymptomatic persons might be a neglected source of transmission.

Impact of infections on primary care--greater than expected.

The burden of illness attributable to infection in primary care by analysing data from the fourth practice-based national morbidity survey is examined, emphasising the importance of adequate training for general practitioners in the natural history, epidemiology, diagnosis and treatment of infection.

Antibiotics for upper respiratory tract infections: an overview of Cochrane reviews.

Pharmacological treatment of acute otitis media in children. A comparison among seven locations: Tenerife, Barcelona and Valencia (Spain), Toulouse (France), Smolensk (Russia), Bratislava (Slovakia) and Sofia (Bulgaria)

Despite the general agreement of most guidelines, wide differences in the treatment of uncomplicated AOM in children are observed, and non-antibiotic therapy for AOM and the use of first-choice antibiotics should be more actively encouraged in the primary care centres.

Role of diagnostic labeling in antibiotic prescription.

The difference in rates of prescription between high prescribers and low prescriber is largely explained by assignment of diagnoses of RTIs, and family doctors frequently prescribe antibiotics.

Everyday symptoms in childhood: occurrence and general practitioner consultation rates.

This study emphasizes the enormous amount of illness that occurs in children and the fact that more than 80% of all illnesses are dealt with by parents without reference to the professional health care system.

Is asthma in 2–12 year-old children associated with physician-attended recurrent upper respiratory tract infections?

URTI proneness, defined as ≥5 episodes of rhinitis/pharyngitis, sinusitis, laryNGitis/tracheitis or otitis media in a 24-month period, was more common in asthmatics than controls, and antibiotic prescriptions and referrals to hospitals occurred more frequently among asthmatic children.