Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold

Abstract Antimicrobial resistance is a major health concern. A primary cause is the inappropriate use of antimicrobials, particularly by patients with upper respiratory tract infection. However, baseline information for antibiotic use for common cold before being applied the National Action Plan on...

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Autores principales:	Yasuhiro Araki, Kenji Momo, Takeo Yasu, Kohtaro Ono, Takeshi Uchikura, Masayoshi Koinuma, Tadanori Sasaki
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6a45e4f7af704b248c570ab1871c3017
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spelling	oai:doaj.org-article:6a45e4f7af704b248c570ab1871c30172021-11-28T12:15:37ZPrescription pattern analysis for antibiotics in working-age workers diagnosed with common cold10.1038/s41598-021-02204-32045-2322https://doaj.org/article/6a45e4f7af704b248c570ab1871c30172021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02204-3https://doaj.org/toc/2045-2322Abstract Antimicrobial resistance is a major health concern. A primary cause is the inappropriate use of antimicrobials, particularly by patients with upper respiratory tract infection. However, baseline information for antibiotic use for common cold before being applied the National Action Plan on Antimicrobial Resistance in Japan is lacking. Here, we analyzed the inappropriate use of antibiotics in the working-age workers. We used large claims data from an annual health check-up for at least 5 consecutive years. Among 201,223 participants, we included 18,659 working-age workers who were diagnosed with common cold at a clinic/hospital. We calculated the proportion of patients with common cold who were prescribed antibiotics and analyzed predictive factors associated with antibiotics prescription. Antibiotics were prescribed to 49.2% (n = 9180) of patients diagnosed with common cold. In the logistic regression analysis, the group taking antibiotics was predominantly younger, male, without chronic diseases, and diagnosed at a small hospital/clinic (where the number of beds was 0–19). Cephems accounted for the highest proportion of prescribed antibiotics, with 40–45% of patients being prescribed antibiotics. Our data may be applied to prioritize resources such as medical staff-intervention or education of working-age people without chronic diseases who visit clinics for common cold to avoid the potential inappropriate use of antibiotics and prevent antimicrobial resistance acceleration.Yasuhiro ArakiKenji MomoTakeo YasuKohtaro OnoTakeshi UchikuraMasayoshi KoinumaTadanori SasakiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yasuhiro Araki Kenji Momo Takeo Yasu Kohtaro Ono Takeshi Uchikura Masayoshi Koinuma Tadanori Sasaki Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold
description	Abstract Antimicrobial resistance is a major health concern. A primary cause is the inappropriate use of antimicrobials, particularly by patients with upper respiratory tract infection. However, baseline information for antibiotic use for common cold before being applied the National Action Plan on Antimicrobial Resistance in Japan is lacking. Here, we analyzed the inappropriate use of antibiotics in the working-age workers. We used large claims data from an annual health check-up for at least 5 consecutive years. Among 201,223 participants, we included 18,659 working-age workers who were diagnosed with common cold at a clinic/hospital. We calculated the proportion of patients with common cold who were prescribed antibiotics and analyzed predictive factors associated with antibiotics prescription. Antibiotics were prescribed to 49.2% (n = 9180) of patients diagnosed with common cold. In the logistic regression analysis, the group taking antibiotics was predominantly younger, male, without chronic diseases, and diagnosed at a small hospital/clinic (where the number of beds was 0–19). Cephems accounted for the highest proportion of prescribed antibiotics, with 40–45% of patients being prescribed antibiotics. Our data may be applied to prioritize resources such as medical staff-intervention or education of working-age people without chronic diseases who visit clinics for common cold to avoid the potential inappropriate use of antibiotics and prevent antimicrobial resistance acceleration.
format	article
author	Yasuhiro Araki Kenji Momo Takeo Yasu Kohtaro Ono Takeshi Uchikura Masayoshi Koinuma Tadanori Sasaki
author_facet	Yasuhiro Araki Kenji Momo Takeo Yasu Kohtaro Ono Takeshi Uchikura Masayoshi Koinuma Tadanori Sasaki
author_sort	Yasuhiro Araki
title	Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold
title_short	Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold
title_full	Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold
title_fullStr	Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold
title_full_unstemmed	Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold
title_sort	prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6a45e4f7af704b248c570ab1871c3017
work_keys_str_mv	AT yasuhiroaraki prescriptionpatternanalysisforantibioticsinworkingageworkersdiagnosedwithcommoncold AT kenjimomo prescriptionpatternanalysisforantibioticsinworkingageworkersdiagnosedwithcommoncold AT takeoyasu prescriptionpatternanalysisforantibioticsinworkingageworkersdiagnosedwithcommoncold AT kohtaroono prescriptionpatternanalysisforantibioticsinworkingageworkersdiagnosedwithcommoncold AT takeshiuchikura prescriptionpatternanalysisforantibioticsinworkingageworkersdiagnosedwithcommoncold AT masayoshikoinuma prescriptionpatternanalysisforantibioticsinworkingageworkersdiagnosedwithcommoncold AT tadanorisasaki prescriptionpatternanalysisforantibioticsinworkingageworkersdiagnosedwithcommoncold
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Prescription pattern analysis for antibiotics in working-age workers diagnosed with common cold

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