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Physician consultation and antibiotic prescription in Swedish infants: population-based comparison of group daycare and home care

Hedin, Katarina LU ; Andre, Malin ; Håkansson, Anders LU ; Molstad, Sigvard ; Rodhe, Nils and Petersson, Christer (2007) In Acta Pædiatrica 96(7). p.1059-1063
Abstract
Background: Daycare infants have more infectious episodes, see a physician more often, and are prescribed antibiotics more often than home care infants. Aim: To compare physician consultations and antibiotic prescription in daycare children and home care children taking number of symptom days, sociodemographic factors, concern about infectious illness and antibiotic knowledge into account. Methods: For a cohort of Swedish 18-month-old children all infectious symptoms, physician consultation and antibiotic prescriptions were registered during 1 month. Results: 561 infants with daycare outside the home and 278 with daycare at home were included. Of the daycare infants, 23.2% saw a physician and 11.4% were prescribed antibiotics, as compared... (More)
Background: Daycare infants have more infectious episodes, see a physician more often, and are prescribed antibiotics more often than home care infants. Aim: To compare physician consultations and antibiotic prescription in daycare children and home care children taking number of symptom days, sociodemographic factors, concern about infectious illness and antibiotic knowledge into account. Methods: For a cohort of Swedish 18-month-old children all infectious symptoms, physician consultation and antibiotic prescriptions were registered during 1 month. Results: 561 infants with daycare outside the home and 278 with daycare at home were included. Of the daycare infants, 23.2% saw a physician and 11.4% were prescribed antibiotics, as compared with 10.8% physician consultations and 5.0% antibiotic prescription for the home care infants. For daycare infants the crude odds ratio for physician consultation were 2.49 (1.63-3.82) and for antibiotic prescription 2.43 (1.34-4.41) compared with home care infants. However, these differences were no longer statistically significant when background data, concern about infectious illness and reported symptoms were taken into account. Conclusion: When background data, concern about infectious illness and reported infectious symptoms were taken into account daycare infants saw a physician and was prescribed antibiotics in the same way as home care infants (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
infectious symptoms, infants, antibiotic consumption, daycare, physician consultation
in
Acta Pædiatrica
volume
96
issue
7
pages
1059 - 1063
publisher
Wiley-Blackwell
external identifiers
  • wos:000247681600027
  • scopus:34250662534
ISSN
1651-2227
DOI
10.1111/j.1651-2227.2007.00323.x
language
English
LU publication?
yes
id
d1a2ba86-1f6d-49a2-a48a-e3c49d88b5ca (old id 647618)
date added to LUP
2016-04-01 16:18:31
date last changed
2022-03-22 17:49:06
@article{d1a2ba86-1f6d-49a2-a48a-e3c49d88b5ca,
  abstract     = {{Background: Daycare infants have more infectious episodes, see a physician more often, and are prescribed antibiotics more often than home care infants. Aim: To compare physician consultations and antibiotic prescription in daycare children and home care children taking number of symptom days, sociodemographic factors, concern about infectious illness and antibiotic knowledge into account. Methods: For a cohort of Swedish 18-month-old children all infectious symptoms, physician consultation and antibiotic prescriptions were registered during 1 month. Results: 561 infants with daycare outside the home and 278 with daycare at home were included. Of the daycare infants, 23.2% saw a physician and 11.4% were prescribed antibiotics, as compared with 10.8% physician consultations and 5.0% antibiotic prescription for the home care infants. For daycare infants the crude odds ratio for physician consultation were 2.49 (1.63-3.82) and for antibiotic prescription 2.43 (1.34-4.41) compared with home care infants. However, these differences were no longer statistically significant when background data, concern about infectious illness and reported symptoms were taken into account. Conclusion: When background data, concern about infectious illness and reported infectious symptoms were taken into account daycare infants saw a physician and was prescribed antibiotics in the same way as home care infants}},
  author       = {{Hedin, Katarina and Andre, Malin and Håkansson, Anders and Molstad, Sigvard and Rodhe, Nils and Petersson, Christer}},
  issn         = {{1651-2227}},
  keywords     = {{infectious symptoms; infants; antibiotic consumption; daycare; physician consultation}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{1059--1063}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Pædiatrica}},
  title        = {{Physician consultation and antibiotic prescription in Swedish infants: population-based comparison of group daycare and home care}},
  url          = {{http://dx.doi.org/10.1111/j.1651-2227.2007.00323.x}},
  doi          = {{10.1111/j.1651-2227.2007.00323.x}},
  volume       = {{96}},
  year         = {{2007}},
}