Indication-based use of antimicrobials in Finnish primary health care. Description of a method for data collection and results of its application.
Scand J Prim Health Care
; 17(2): 93-9, 1999 Jun.
Article
en En
| MEDLINE
| ID: mdl-10439492
ABSTRACT
OBJECTIVE:
To collect population-based information on treatment of infections with antibiotics in PHC.DESIGN:
A questionnaire study for general practitioners (GPs).SETTING:
All health centres of Pirkanmaa Hospital District in Finland. PATIENTS Patients with any infection attending health centre during 1 week in November 1994. MAIN OUTCOMEMEASURES:
An infection diagnosis by the GP.RESULTS:
A total of 4150 questionnaires were received from 223 doctors. Respiratory tract infections comprised 80% of all infections. Of all patients 64% received antimicrobial treatment. Unspecified upper respiratory tract infections and pharyngitis were rarely treated with antimicrobials (10 and 21%, respectively), whereas patients with acute bronchitis received antibiotics as often (83%) as patients with otitis media (93%) or tonsillitis (86%). The most commonly prescribed substances were cephalosporins (19% of all antimicrobials), penicillin V (17%), and amoxycillin (17%). Half of the cephalosporin use could be regarded as overuse. Half of the sulphatrimethoprims were used for otitis media. A quarter of the patients expressed a desire to receive antibiotic treatment.CONCLUSION:
The method was practical, inexpensive, and successful in giving such information, which is needed for supervising the rational use of antibiotics in primary health care.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Enfermedades Transmisibles
/
Encuestas y Cuestionarios
/
Utilización de Medicamentos
/
Antibacterianos
Tipo de estudio:
Clinical_trials
/
Risk_factors_studies
Límite:
Adolescent
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Aged
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
/
Newborn
País/Región como asunto:
Europa
Idioma:
En
Revista:
Scand J Prim Health Care
Año:
1999
Tipo del documento:
Article
País de afiliación:
Finlandia