울산 지역 소아청소년과 및 이비인후과에서의 항생제 처방 형태
- 울산 지역 소아청소년과 및 이비인후과에서의 항생제 처방 형태
- Other Titles
- Outpatient Antibiotic Prescription by Pediatric and ENT Physicians in Ulsan City
- 남두현; 김성철; 박용철[박용철]; 김보금[김보금]
- Antibiotic prescription; Pediatric physician; ENT physician; Upper respiratory infection
- Issue Date
- 한국임상약학회지, v.20, no.2, pp.145 - 150
- In order to investigate the antibiotic prescription pattern for upper respiratory infections (URI), the prescription sheets for outpatients from July 2008 to June 2009 were collected from 7 community pharmacies in Ulsan City, and the prescription pattern of Pediatric and ENT physicians was analyzed. The antibiotic prescription rates of Pediatric and ENT physicians were 63.8% and 61.7%, respectively. It was also observed that the oral antibiotic prescription was 95.6% in Pediatrics and 97.6% in ENT. The most favorable antibiotics by Pediatric physicians were penicillins (21.5%) penicillinclavulanate (36.4%) and cephalosporins (16.5%), macrolides (11.6%), quinolones (3.5%), and nifuroxazide (3.5%). In case of ENT, the commonly prescribed antibiotics were also penicillin-clavulanate (47.6%), cephalosporins (31.6%),macrolides (11.9%) and sulfonamide (1.3%). The antibiotic combination rate was 7.6% in Peditrics and 1.9% in ENT,among antibiotic prescriptions. The combination of more than two oral antibiotics was examined as 66.8% in Pediatrics and 44.2% in ENT. The common oral antibiotic combination in Pediatrics was prescriptions of two β-lactam antibiotics (54.3%). Among them 83% was the combination of amoxicillin-clavulanate (7:1) and amoxicillin, which could be judged as antibiotic overuse. The next highly prescribed oral antibiotic combination was β-lactam/macrolide antibiotic combination probably for URI (11.3%) and β-lactam/nifuroxazide combination (10.0%) presumably for acute diarrhea.
Comparatively the oral antibiotic combination prescribed by ENT physicians was negligible except one physician. In conclusion, the antibiotic over-prescription rate by antibiotic combination was much higher in Pediatrics than ENT, even though both clinical departments showed nealy the similar antibiotic prescription rates.
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