5 Citations (Scopus)

Abstract

BACKGROUND: Belgian antibiotic (AB) policy guidelines discourage the use of ABs in sore throat in otherwise healthy individuals; yet, 35% of all children with sore throat in our pediatric emergency department receive a prescription for ABs.

OBJECTIVE: To identify factors influencing our physician's prescription behavior.

PATIENTS AND METHODS: Using a retrospective study, we analyzed all medical records of children younger than 16 years of age diagnosed with sore throat (in 2009 and 2010). We included 1345 files.

RESULTS: Children younger than 5 years of age received an AB prescription more easily (37.8 vs. 27.7%; P=0.0007). Children of White origin received less frequent ABs compared with non-Whites (31.6 vs. 37.8%; P=0.02). More ABs were prescribed during night shifts (38.7 vs. 31.8%; P=0.008). Physicians with a Belgian degree prescribed less frequently compared with those with a Dutch degree (23.4 vs. 46.4%; P<0.0001).

CONCLUSION: We find several 'practical' factors to have an influence on the AB prescription rate.

Original languageEnglish
Pages (from-to)343-347
Number of pages5
JournalEur J Emerg Med
Volume22
Issue number5
Early online date2014
DOIs
Publication statusPublished - 2015

Keywords

  • Adolescent
  • Age Factors
  • Anti-Bacterial Agents
  • Belgium
  • Child
  • Child, Preschool
  • Cohort Studies
  • Drug Utilization
  • Emergency Service, Hospital
  • Female
  • Humans
  • Incidence
  • Infant
  • Male
  • Outcome Assessment (Health Care)
  • Pharyngitis
  • Retrospective Studies
  • Risk Assessment
  • Severity of Illness Index
  • Sex Factors
  • Journal Article
  • Observational Study

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