RT Journal Article
T1 [Therapeutic approach to acute otitis media in primary care in an urban area. Delayed antibiotic prescription evaluation].
T2 Abordaje terapéutico de la otitis media aguda en atención primaria de un área urbana. Evaluación de la prescripción diferida de antibióticos.
A1 García Ventura, María
A1 García Vera, César
A1 Ruiz-Canela Cáceres, Juan
K1 Acute otitis media
K1 Administración y dosificación de antibacterianos
K1 Administration and dosage of antibacterial agents
K1 Antimicrobial stewardship
K1 Child
K1 Drug administration schedule
K1 Esquema de administración
K1 Niños
K1 Optimización del uso de los antimicrobianos
K1 Otitis media
AB Acute otitis media (AOM) is one of the most frequent causes of consultation and antibiotic prescription in pediatrics. The objective of this work is to evaluate the practice of delayed antibiotic prescription in AOM in pediatrics primary care. Observational, retrospective study, through reviewing of medical records in a primary care center of Aragon Community of children with OMA in which doctors perform delayed prescription. Logistic regression analyzes possibly related to antibiotic prescription factors. 1,390 episodes of AOM are analyzed in 696 patients. Immediate antibiotic prescription is performed in 67.6% (95% CI 65.1-70.0) of episodes, exclusive symptomatic in 13.7% (95% CI 11.9-15.6), and delayed antibiotic in 18.7% (95% CI 16.7-20.8), finally being given in 53.5% (95% CI 47.4-59.5) of these. Factors significantly related to final antimicrobial dispensation in delayed prescription are aged between 0 and 2 years (OR 1.89, 95% CI 1.25-2.87), bilaterality (OR 2.54, 95% CI 1.48-4.35), ear pain (OR 0.49, 95% CI 0.29-0.82), fever (OR 2.67, 95% CI 1.95-3.65), bulging (OR 3.63, 95% CI 2.50-5.29) and otorrhea (OR 25.98, 95% CI 12.75-52.92). The same factors have influence on global prescription of antibiotics. Amoxicillin (74.6%) is the most indicated antibiotic, followed by amoxicillin-clavulanic (17.0%). Delayed prescription in AOM seems to be useful to reduce antibiotics consumption, being necessary to advance in its implantation.
YR 2021
FD 2021-02-23
LK http://hdl.handle.net/10668/21937
UL http://hdl.handle.net/10668/21937
LA es
DS RISalud
RD Apr 5, 2025