지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objectives: A significant concern has been raised about the emerging resistance that is largely caused by the excessive or inappropriate use of antibacterial agents for viral respiratory infections. This study investigated the trend of respiratory tract infections (RTIs) and the use of antibiotics. Methods: Utilizing the national level health insurance claims data from 2005 to 2008, we examined encounter days, antibiotic use, and the prescription rate for respiratory tract infections including upper respiratory tract infections (URTIs), lower respiratory tract infections (LRTIs), and otitis media in outpatient settings. The antibiotic use was measured as defined daily dose per 1,000 patients per day (DDD/1,000 patients/day). Results: The visit for URTI increased from 141,693,465 in 2005 to 120,717,966 in 2008 and the visit for LRTI decreased from 61,778,718 to 66,930,122. For RTIs, prescription rates of antibiotics decreased from 65.2% to 58.5% for URTIs and 76.9% to 68.3% for LRTIs from 2005 to 2008. The antibiotic use decreased to 20.85 DDD/1,000 patients/day after a significant increase of 22.01 DDD/1,000 patients/day in 2006. Among antibiotics, J01CR had the highest use- 7.93 DDD/1,000 patients/day followed by J01DC of 3.71 DDD/1,000 patients/day and J01FA of 3.2 DDD/1,000 patients/day. One notable trend is that J01FA presented a continuous increase in antibiotic use from 2.3 in 2005 to 3.26 DDD/1,000 patients/day in 2008. Conclusion: The use of antibiotics had poor compliance to guidelines for RTIs. Despite decrease in the use of antibiotics, prescription rates for URTIs were still about 50% indicating that the delayed prescribing antibiotics (or wait-and-see) were not observed.
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참고문헌 (13)
참고문헌 신청
Akkerman AE / 2004 / Antibiotics prescribing for respiratory tract infections in Dutch primary care in relation to patient age and clinical entities / J Antimicrob Chemother
Cantrell R / 2002 / Antibiotic prescribing in ambulatory care settings for adults with colds, upper respiratory tract infections and bronchitis / Clin Ther 24 : 170 ~ 182
Health insurance review & assessment service / / Drug use evaluation 2001~2010
Mainous AG 3rd / 2003 / Trend in antimicrobial prescribing for bronchitis and upper respiratory infections among adults and children / Am J Public Health 93 : 1910 ~ 1914
McCaig DJ / 1995 / An assessment of antibiotic therapy of urinary tract infection in elderly, hospitalised patients / Health Bull 53 : 359 ~ 364
Cantrell R / 2002 / Antibiotic prescribing in ambulatory care settings for adults with colds, upper respiratory tract infections and bronchitis / Clin Ther 24 : 170 ~ 182
Health insurance review & assessment service / / Drug use evaluation 2001~2010
Mainous AG 3rd / 2003 / Trend in antimicrobial prescribing for bronchitis and upper respiratory infections among adults and children / Am J Public Health 93 : 1910 ~ 1914
McCaig DJ / 1995 / An assessment of antibiotic therapy of urinary tract infection in elderly, hospitalised patients / Health Bull 53 : 359 ~ 364
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