Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China

Abstract Inappropriate prescribing for acute bronchitis in primary healthcare settings (PHSs) is commonly seen worldwide. Here we describe the prescribing patterns and antibiotic use for acute bronchitis in PHSs across China. We conduct a nationwide cross-sectional survey to collect outpatient presc...

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Autores principales:	Mengyuan Fu, Haishaerjiang Wushouer, Lin Hu, Nan Li, Xiaodong Guan, Luwen Shi, Dennis Ross-Degnan
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/b2150b45dd3141a4b37bf5499bae3d1c
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spelling	oai:doaj.org-article:b2150b45dd3141a4b37bf5499bae3d1c2021-12-02T14:35:59ZOutpatient prescribing pattern for acute bronchitis in primary healthcare settings in China10.1038/s41533-021-00234-y2055-1010https://doaj.org/article/b2150b45dd3141a4b37bf5499bae3d1c2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00234-yhttps://doaj.org/toc/2055-1010Abstract Inappropriate prescribing for acute bronchitis in primary healthcare settings (PHSs) is commonly seen worldwide. Here we describe the prescribing patterns and antibiotic use for acute bronchitis in PHSs across China. We conduct a nationwide cross-sectional survey to collect outpatient prescriptions from PHSs in 2017. Patients diagnosed with acute bronchitis without other infections are eligible for this study. Generalized estimating equations are used for analysis. Overall, 10,678 prescriptions for acute bronchitis from 214 institutions are included. The antibiotic prescription rate is 44.5% for total prescriptions, and differs significantly by region and urban/rural status (p < 0.05). Among all single-antibiotic prescriptions, 91.5% are broad-spectrum. Two-thirds of the prescriptions contain medicines for symptom management. The overall guideline compliance rate of acute bronchitis treatment for adults is 31.0%. Prescribing antibiotics, especially broad-spectrum ones, for acute bronchitis is commonly observed in Chinese PHSs. Targeted interventions are urgently needed for Chinese primary clinicians, especially in western rural areas.Mengyuan FuHaishaerjiang WushouerLin HuNan LiXiaodong GuanLuwen ShiDennis Ross-DegnanNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Mengyuan Fu Haishaerjiang Wushouer Lin Hu Nan Li Xiaodong Guan Luwen Shi Dennis Ross-Degnan Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China
description	Abstract Inappropriate prescribing for acute bronchitis in primary healthcare settings (PHSs) is commonly seen worldwide. Here we describe the prescribing patterns and antibiotic use for acute bronchitis in PHSs across China. We conduct a nationwide cross-sectional survey to collect outpatient prescriptions from PHSs in 2017. Patients diagnosed with acute bronchitis without other infections are eligible for this study. Generalized estimating equations are used for analysis. Overall, 10,678 prescriptions for acute bronchitis from 214 institutions are included. The antibiotic prescription rate is 44.5% for total prescriptions, and differs significantly by region and urban/rural status (p < 0.05). Among all single-antibiotic prescriptions, 91.5% are broad-spectrum. Two-thirds of the prescriptions contain medicines for symptom management. The overall guideline compliance rate of acute bronchitis treatment for adults is 31.0%. Prescribing antibiotics, especially broad-spectrum ones, for acute bronchitis is commonly observed in Chinese PHSs. Targeted interventions are urgently needed for Chinese primary clinicians, especially in western rural areas.
format	article
author	Mengyuan Fu Haishaerjiang Wushouer Lin Hu Nan Li Xiaodong Guan Luwen Shi Dennis Ross-Degnan
author_facet	Mengyuan Fu Haishaerjiang Wushouer Lin Hu Nan Li Xiaodong Guan Luwen Shi Dennis Ross-Degnan
author_sort	Mengyuan Fu
title	Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China
title_short	Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China
title_full	Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China
title_fullStr	Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China
title_full_unstemmed	Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China
title_sort	outpatient prescribing pattern for acute bronchitis in primary healthcare settings in china
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b2150b45dd3141a4b37bf5499bae3d1c
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Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China

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