To describe the frequency and characteristics of antibiotic prescribing for different types of contacts with the Danish out-of-hours (OOH) primary care service.
Population-based observational registry study using routine registry data from the OOH registration system on patient contacts and ATC-coded prescriptions.
The OOH primary care service in the Central Denmark Region.
All contacts with OOH primary care during a 12-month period (June 2010-May 2011).
Descriptive analyses of antibiotic prescription proportions stratified for type of antibiotic, patient age and gender, contact type, and weekdays or weekend.
Of the 644 777 contacts registered during the study period, 15.0% received an antibiotic prescription: 26.1% resulted from clinic consultations, 10.7% from telephone consultations, and 10.9% from home visits. The prescription proportion was higher for weekends (17.6%) than for weekdays (10.6%). The most frequently prescribed antibiotic drugs were beta-lactamase sensitive penicillins (34.9%), antibiotic eye drops (21.2%), and broad-spectrum penicillins (21.0%). Most antibiotic eye drops (73%) were prescribed in a telephone consultation. Most antibiotics were prescribed at 4-6 p.m. on weekdays. Young infants received most antibacterial eye drops (41.3%), patients aged 5-17 years and 18-60 years received most beta-lactamase sensitive penicillins (44.6% and 38.9%, respectively), while patients aged 60 + years received most broad-spectrum penicillins (32.9% of all antibiotic prescriptions).
Antibiotics were most often prescribed in clinic consultations, but, in absolute terms, many were also prescribed by telephone. The high prescription proportion, particularly antibacterial eye drops for young infants, suggests room for improvement in rational antibiotic use.
Notes
Cites: BMJ. 2010;340:c209620483949
Cites: Tidsskr Nor Laegeforen. 2008 Oct 23;128(20):2340-219096491
Cites: Emerg Med J. 2006 Sep;23(9):731-416921097
Cites: Respir Med. 2005 Mar;99(3):255-6115733498
Cites: BMJ. 1998 May 16;316(7143):1502-59582141
Cites: Br J Gen Pract. 1992 Nov;42(364):454-81472390
Cites: J Am Board Fam Med. 2012 Mar;25 Suppl 1:S34-822403249
Cites: Br J Gen Pract. 2011 Sep;61(590):e542-822152728