Treatment of acute otitis media in general practice: quality variations across countries.

https://arctichealth.org/en/permalink/ahliterature101295
Source
Fam Pract. 2011 Aug 4;
Publication Type
Article
Date
Aug-4-2011
Author
Malene Plejdrup Hansen
Dorte Ejg Jarbol
Bente Gahrn-Hansen
Rene Depont Christensen
Anders Munck
Christina Ellegaard Trankjær Ryborg
Lars Bjerrum
Author Affiliation
Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000 Odense C.
Source
Fam Pract. 2011 Aug 4;
Date
Aug-4-2011
Language
English
Publication Type
Article
Abstract
BACKGROUND: Recommendations for antibiotic treatment of acute otitis media (AOM) have changed over the years, and today many experts recommend initial observation. However, antibiotic prescribing should be considered in children aged 38.5°C, ear discharge and the antibiotic treatment given was recorded. RESULTS: Danish GPs had the lowest antibiotic prescription rate for AOM [72.7% (95% confidence interval (CI) = 67.0-77.8)] and GPs in Kaliningrad had the highest [97.1% (95% CI = 89.8-99.6)]. Narrow-spectrum penicillin was almost exclusively prescribed in the two Nordic countries, while broad-spectrum penicillins, often in combination with clavulanic acid, were prescribed in the other four countries. Macrolides comprised 5-10% of prescriptions. Antibiotic prescribing was associated with the following characteristics of the patients: symptoms for >3 days, ear discharge and fever. Conclusion. The majority of patients with AOM were treated with antibiotics in all six countries, but considerable variations in both prescribing rate and choice of antibiotics were identified.
PubMed ID
21817089 View in PubMed
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