Handläggning av luftvägsinfektioner hos barn 1-6 år vid Barnakutmottagningen på Akademiska sjukhuset i Uppsala
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Background: Antibiotic resistance threatens public health worldwide. Part of the solution to this major problem is to avoid prescription of antibiotics for infections and diseases not treatable with antibiotics and to decrease antibiotic treatment of bacterial infections which do not benefit from antibiotics, such as upper respiratory tract infections in children.
Objectives: The aim of this study was to make a chart regarding antibiotic treatment of five respiratory tract infections in children and to investigate to what extent national or local treatment guidelines were followed.
Method: This retrospective survey of electronic medical records studied all patients between 1 and 6 years old diagnosed at the emergency department for children at Uppsala university hospital in October, November or December of 2011 with one of the following five diagnoses: acute otitis media (AOM), tonsillitis, unspecified acute upper respiratory tract infection (UURTI), unspecified viral infection or asthma.
Results: A total of 362 children were studied of which 355 were included in the survey. Antibiotics were prescribed to 80% of the AOM patients and 98% of the tonsillitis patients. About half of the AOM and tonsillitis patients (52% respectively) were treated according to national or local guidelines. Some (8%) of the UURTI patients, but none of the patients diagnosed with unspecified viral infection or asthma, were treated with antibiotics.
Conclusions: Fortunately, the emergency department for children at Uppsala university hospital prescribed antibiotics for bacterial infections only; however, it might be possible to decrease the prescription of antibiotics by a better compliance to national and local treatment guidelines.
Place, publisher, year, edition, pages
2012. , 43 p.
Social and Clinical Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-176342OAI: oai:DiVA.org:uu-176342DiVA: diva2:534909
Strama Uppsala län
Subject / course
Master of Science Programme in Pharmacy
Prioux, Magdalena, ApotekareHartvig Honore´, Per, Professor
Hammarlund-Udenaes, Margareta, Professor