Trends in antimicrobial prescribing for bronchitis and upper respiratory infections among adults and children.
OBJECTIVE
This study examined antimicrobial prescribing patterns for adults and children with bronchitis or upper respiratory infections (URIs) before and after release of nationally disseminated pediatric practice recommendations.


METHODS
Data from the 1993, 1995, 1997, and 1999 National Ambulatory Medical Care Survey were used to evaluate prescriptions for antimicrobials for URIs and bronchitis.


RESULTS
From 1993 to 1999, the proportion of children receiving antimicrobials after visits for URIs and bronchitis decreased. However, the use of broad-spectrum antimicrobials rose from 10.6% of bronchitis visits to 40.5%. Prescriptions of antimicrobials for adults with URIs or bronchitis showed a decrease between 1993 and 1999.


CONCLUSIONS
Although antimicrobial prescribing for URIs and bronchitis has decreased for both children and adults, the prescribing of broad-spectrum antibiotics among children has shown a proportional rise.
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA. mainouag@musc.edu
Arch G
AG
Mainous
William J
WJ
Hueston
Matthew P
MP
Davis
William S
WS
Pearson
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001991:Bronchitis / Q000188:drug therapy / Q000821:virology; D002648:Child; D002675:Child, Preschool; D003139:Common Cold / Q000188:drug therapy / Q000821:virology; D011307:Drug Prescriptions; D017723:Drug Utilization Review; D017050:Episode of Care; D019538:Health Care Surveys; D006300:Health Services Misuse / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D008875:Middle Aged; D009819:Office Visits; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data / Q000639:trends*; D012141:Respiratory Tract Infections / Q000188:drug therapy* / Q000821:virology; D014481:United States
D000900:Anti-Bacterial Agents