Appropriateness of antibiotic prescribing for upper respiratory tract infections in general practice: Comparison between Denmark and Iceland

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Nanna Rún Sigurðardóttir, Anni Brit Sternhagen Nielsen, Anders Munck, Lars Bjerrum

Objective. To compare the appropriateness of antibiotic prescribing for upper respiratory tract infections (URTI) in two countries with different prevalence of antimicrobial resistance: Denmark and Iceland. Design. A cross-sectional study. Settings & subjects: General practitioners (GPs) in Denmark (n=78) and Iceland (n=21) registered all patients with URTI according to the Audit Project Odense (APO) method during a three-week period in the winter months of 2008 and 2009. Main outcome measures. Appropriateness of antibiotic prescribing in patients with URTI in Denmark and Iceland. Results. A total of 1,428 patients were registered, (Denmark: n=1,208; Iceland: n=220). A majority of patients in both countries were prescribed antibiotics, and only a minority of the prescriptions could be classified as appropriate prescribing. In general, Icelandic GPs more often prescribed antibiotics (Iceland=75.8% vs. Denmark=59.3%), but Danish GPs had the highest percentage of inappropriate antibiotic prescribing. The different antibiotic prescribing patterns between Denmark and Iceland could not fully be explained by different symptoms and signs among patients. Conclusion. Icelandic GPs have a higher antibiotic prescribing rate compared with Danish GPs, but the percentage of inappropriate antibiotic prescribing is highest in Denmark.
OriginalsprogEngelsk
TidsskriftScandinavian Journal of Primary Health Care
Vol/bind33
Udgave nummer4
Sider (fra-til)269-274
Antal sider6
ISSN0281-3432
DOI
StatusUdgivet - 2015

ID: 144959614