Evaluation on the Antibiotics Prescriptions for the Pediatric Patients with Acute Otitis Media

Catherine Seonghee Yang, Kee-Jae Lee, Ki Yon Rhew
2016 Journal of Health Informatics and Statistics  
급성 중이염(acute otitis media)은 귀의 고막에서 달팽이관에 이르는 부위인 중이(middle ear)의 염증 증상이 빠르게 발현되는 것을 특징으 로 하는 질환이다. 귀의 통증, 이루(otorrhea), 발열, 자극감 등 중이의 급성 염증 증상 및 식욕 부진, 구토, 설사와 같은 전신 증상이나 콧물, 비충혈 혹은 기침과 같은 감기 증상이 동반될 수 있으며, 일반적으로 이러한 증상은 발현 1주 정도에 소실된다[1,2]. Objectives: Proper use of antibiotic for the treatment of acute otitis media (AOM) is important because it can improve the treatment effect and can reduce the risk of antibiotic-resistant bacteria. There has been no national wide study on the antibiotic
more » ... for AOM treatment in young ages in Korea. Therefore, we conducted a national wide study on the status of antibiotic prescription for the AOM treatment in young ages in Korea. Methods: The AOM outpatient data on the antibiotic prescription was obtained from Korean health insurance review and assessment service. The ratio and the factors influencing (type of AOM, patient's age group, types of hospitals, specialty of the physician and the regions in Korea) on the antibiotic prescription was analyzed using multivariate binary logistic regression. Results: Total 388,994 cases were analyzed. The antibiotic was prescribed in 89.0%. Antibiotics were prescribed the most frequently in the pre-school ages (odds ratio [OR] 1.05; 95% confidence interval [CI], 1.00-1.11) and the least frequently in the adolescents (OR 0.81; 95% CI, 0.75-0.88). The suppurative AOM was more related to the use of antibiotics than non-suppurative AOM (OR 1.44; 95% CI, 1.39-1.50). The secondary hospital (OR 3.19; 95% CI, 2.65-3.85) and primary hospital (OR 8.40; 95% CI, 6.97-10.12) prescribed antibiotics more frequently compared to the tertiary hospital. Conclusions: Various factors are related to prescribing antibiotics for the treatment of AOM in pediatric patients. Antimicrobial prescribing guidelines for pediatric AOM patients would encourage appropriate use of antibiotics. How to cite this article: Yang CS, Lee KJ, Rhew KY. Evaluation on the antibiotics prescriptions for the pediatric patients with acute otitis media. J Health Info Stat 2016;41(2):223-230. Doi: http://dx.
doi:10.21032/jhis.2016.41.2.223 fatcat:kcebs46ufvhlbldlx37iyml6l4