Increased antibiotic use for outpatient illnesses has been identified as an important determinant of the recent rise in antibiotic resistance among common respiratory pathogens.
Efforts to reduce the inappropriate use will need to be evaluated against current trends in the outpatient use of antibiotics.
To examine national trends in the use of antibiotics by primary care physicians in the care of adult patients with cough and identify patient factors that may influence antibiotic use for these patients.
This study was based on a serial analysis of results from all National Ambulatory Medical Care Surveys beginning in 1980 (when therapeutic drug use was first recorded) to 1994 (the most recent survey year available).
These surveys are a random sampling of visits to US office-based physicians in 1980,1981,1985, and annually from 1989-1994.
Eligible visits included those by adults presenting to general internists, family practitioners, or general practitioners with a chief complaint of cough.
A total of 3416 visits for cough were identified over the survey years.
Survey results were extrapolated, based on sampling weights in each year, to project national rates of antibiotic use for patients with cough.
Additional analyses examined the rates of antibiotic use stratified by patient age, race, and clinical diagnosis. (...)
Mots-clés Pascal : Toux, Evaluation, Prescription médicale, Antibiotique, Soin intégré, Système national, Tendance, Exploration clinique, Critère décision, Etats Unis, Amérique du Nord, Amérique, Homme, Appareil respiratoire pathologie, Trouble respiratoire
Mots-clés Pascal anglais : Cough, Evaluation, Medical prescription, Antibiotic, Managed care, National system, Trend, Clinical investigation, Decision criterion, United States, North America, America, Human, Respiratory disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0433480
Code Inist : 002B02D. Création : 25/01/1999.