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

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dc.contributor.author김예지
dc.contributor.author이수형
dc.contributor.author박실비아
dc.contributor.author나현오
dc.contributor.author최병호
dc.date.accessioned2017-01-25T04:08:11Z
dc.date.available2017-01-25T04:08:11Z
dc.date.issued2015-12-01
dc.identifier.issn1225-4266
dc.identifier.urihttps://repository.kihasa.re.kr/handle/201002/24924
dc.description.abstractBackground: 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.
dc.format.extent11
dc.languagekor
dc.publisher한국보건행정학회
dc.title소아 호흡기감염 외래환자에 대한 항생제 처방양상
dc.title.alternativeOriginal Articles : Outpatient Antibiotic Prescription Patterns for Respiratory Tract Infections of Infants
dc.typeArticle
dc.type.localArticle(Academic)
dc.identifier.apprname학술논문평가
dc.subject.keywordAntibiotics
dc.subject.keywordPrescription pattern
dc.subject.keywordRespiratory disease
dc.subject.keywordInfant
dc.subject.keywordLogit analysisAntibiotics
dc.subject.keywordPrescription pattern
dc.subject.keywordRespiratory disease
dc.subject.keywordInfant
dc.subject.keywordLogit analysis
dc.contributor.affiliatedAuthor이수형
dc.contributor.affiliatedAuthor박실비아
dc.identifier.doi10.4332/KJHPA.2015.25.4.323
dc.identifier.urlhttps://doi.org/10.4332/KJHPA.2015.25.4.323
dc.citation.title보건행정학회지
dc.citation.volume25
dc.citation.number4
dc.citation.startPage323
dc.citation.endPage333
dc.identifier.bibliographicCitation보건행정학회지, vol. 25, no. 4, pp. 323 - 333
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