소아 호흡기감염 외래환자에 대한 항생제 처방양상

제목
소아 호흡기감염 외래환자에 대한 항생제 처방양상
Original Articles : Outpatient Antibiotic Prescription Patterns for Respiratory Tract Infections of Infants
저자

김예지; 이수형박실비아; 나현오; 최병호

키워드
Antibiotics; Prescription pattern; Respiratory disease; Infant; Logit analysisAntibiotics; Prescription pattern; Respiratory disease; Infant; Logit analysis
발행연도
2015-12-01
발행기관
한국보건행정학회
Series
보건행정학회지, vol. 25, no. 4, pp. 323 - 333
Journal Title
보건행정학회지
초록
Background: Antibiotic resistance has been becoming serious challenge to human beings. Overuse of antibiotics, especially, for infants is concerned, but studies are very few for the prescribing pattern of antibiotic use for infants. This study analyzes prescribing patterns of antibiotics in outpatients of preschool children with acute respiratory tract infections in South Korea. Methods: Data are used from 2011 Health Insurance Review & Assessment Services-pediatric patients sample. Inclusion criteria is outpatient children (0 to 5 years) with top five frequent diseases. Prescription rates are analyzed by types of disease, provider, specialty, region, and ages. Binary or multinomial logit models are used to analyze determinants of provider's prescription pattern. Result: The main findings are as follows. First, distributions of prescription rates are shown as L-shape or M-shape depending on the types of disease. Second, the prescription variation is so large among providers, where providers are polarized as a group with low prescription retes and the other group with high prescription rates, though the shapes are shown diversified across types of disease. Third, prescription rates appear to be lower in pediatrics and higher in ENT (ear-nose-throat). Fourth, broad spectrum antibiotics are widely used among children. Finally, the logit analysis shows similar results with descriptive statistics, but partly different results across types of disease. Conclusion: Antibiotics for respiratory track infections of infants are used excessively with a large vatiation among providers, and especially broad spectrum antibiotics are used. The prescription guideline for antibiotics should be provided for each specific disease to reduce antibiotic resistance in the future.
ISSN
1225-4266
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