Antibiotic prescribing for children with nasopharyngitis (common colds), upper respiratory infections, and bronchitis who have health-professional parents

Nicole Huang, Laura Morlock, Cheng Hua Lee, Long Shen Chen, Yiing Jenq Chou

Research output: Contribution to journalArticle

Abstract

Objective. Antibiotic resistance might be reduced if patients could be better informed regarding the lack of benefits of antibiotics for children with viral infections and avoid antibiotic prescriptions in these circumstances. This study investigated whether children having health professionals as parents, a group whose parents are expected to have more medical knowledge and expertise, are less likely than other children to receive antibiotics for nasopharyngitis (common colds), upper respiratory tract infections (URIs), and acute bronchitis. Methods. Retrospective analyses were conducted by using National Health Insurance data for children of physicians, nurses, pharmacists, and non-health personnel, who had visited hospital outpatient departments or physician clinics for common colds, URIs, and acute bronchitis in Taiwan in 2000. A total of 53 733 episodes of care for common colds, URIs, and acute bronchitis in a nationally representative sample of children (aged ≤18 years) living in nonremote areas were analyzed. Results. The study found that, after adjusting for characteristics of the children (demographic, socioeconomic, and health status) and the treating physicians (demographic, practice style, and setting), children with a physician (odds ratio [OR]: 0.50; 95% confidence interval [CI]: 0.36-0.68) or a pharmacist (OR: 0.69; 95% CI: 0.52-0.91) as a parent were significantly less likely than other children to receive antibiotic prescriptions. The likelihood of receiving an antibiotic for the children of nurses (OR: 0.91; 95% CI: 0.77-1.09) was similar to that for children in the comparison group. Conclusions. This finding supports our hypothesis that better parental education does help to reduce the frequency of injudicious antibiotic prescribing. Medical knowledge alone, however, may not fully reduce the overuse of antibiotics. Physician-parents, the expected medically savvy parents, can serve as a benchmark for the improvement potentially achievable in Taiwan through a combination of educational, regulatory, communication, and policy efforts targeted at more appropriate antibiotic prescribing in ambulatory settings.

Original languageEnglish (US)
Pages (from-to)826-832
Number of pages7
JournalPediatrics
Volume116
Issue number4
DOIs
StatePublished - Dec 2005

Fingerprint

Nasopharyngitis
Common Cold
Bronchitis
Respiratory Tract Infections
Parents
Anti-Bacterial Agents
Health
Physicians
Odds Ratio
Confidence Intervals
Taiwan
Pharmacists
Prescriptions
Nurses
Demography
Episode of Care
Benchmarking
Hospital Departments
National Health Programs
Virus Diseases

Keywords

  • Antibiotic prescribing
  • Children
  • Health-professional parents
  • Taiwan

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Antibiotic prescribing for children with nasopharyngitis (common colds), upper respiratory infections, and bronchitis who have health-professional parents. / Huang, Nicole; Morlock, Laura; Lee, Cheng Hua; Chen, Long Shen; Chou, Yiing Jenq.

In: Pediatrics, Vol. 116, No. 4, 12.2005, p. 826-832.

Research output: Contribution to journalArticle

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abstract = "Objective. Antibiotic resistance might be reduced if patients could be better informed regarding the lack of benefits of antibiotics for children with viral infections and avoid antibiotic prescriptions in these circumstances. This study investigated whether children having health professionals as parents, a group whose parents are expected to have more medical knowledge and expertise, are less likely than other children to receive antibiotics for nasopharyngitis (common colds), upper respiratory tract infections (URIs), and acute bronchitis. Methods. Retrospective analyses were conducted by using National Health Insurance data for children of physicians, nurses, pharmacists, and non-health personnel, who had visited hospital outpatient departments or physician clinics for common colds, URIs, and acute bronchitis in Taiwan in 2000. A total of 53 733 episodes of care for common colds, URIs, and acute bronchitis in a nationally representative sample of children (aged ≤18 years) living in nonremote areas were analyzed. Results. The study found that, after adjusting for characteristics of the children (demographic, socioeconomic, and health status) and the treating physicians (demographic, practice style, and setting), children with a physician (odds ratio [OR]: 0.50; 95{\%} confidence interval [CI]: 0.36-0.68) or a pharmacist (OR: 0.69; 95{\%} CI: 0.52-0.91) as a parent were significantly less likely than other children to receive antibiotic prescriptions. The likelihood of receiving an antibiotic for the children of nurses (OR: 0.91; 95{\%} CI: 0.77-1.09) was similar to that for children in the comparison group. Conclusions. This finding supports our hypothesis that better parental education does help to reduce the frequency of injudicious antibiotic prescribing. Medical knowledge alone, however, may not fully reduce the overuse of antibiotics. Physician-parents, the expected medically savvy parents, can serve as a benchmark for the improvement potentially achievable in Taiwan through a combination of educational, regulatory, communication, and policy efforts targeted at more appropriate antibiotic prescribing in ambulatory settings.",
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