HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (26) Citing Articles via Google Scholar Google Scholar Articles by Mainous, A. G. Articles by Pearson, W. S. Search for Related Content PubMed PubMed Citation Articles by Mainous, A. G., III Articles by Pearson, W. S. Related Collections Other Infections Other Respiratory Health

Arch G. Mainous, III, PhD, William J. Hueston, MD, Matthew P. Davis, MD and William S. Pearson, MHA

Arch G. Mainous III, William J. Hueston, and William S. Pearson are with the Department of Family Medicine, Medical University of South Carolina, Charleston. Matthew P. Davis is with the Department of Pediatrics, Medical University of South Carolina, Charleston.

Correspondence: Requests for reprints should be sent to Arch G. Mainous III, Department of Family Medicine, Medical University of South Carolina, 295 Calhoun St, PO Box 250192, Charleston, SC 29425 (e-mail: mainouag{at}musc.edu).

Objectives. This study examined antimicrobial prescribing patterns for adults and children with bronchitis or upper respiratory infections (URIs) before and after release of nationally disseminated pediatric practice recommendations.

Methods. Data from the 1993, 1995, 1997, and 1999 National Ambulatory Medical Care Survey were used to evaluate prescriptions for antimicrobials for URIs and bronchitis.

Results. From 1993 to 1999, the proportion of children receiving antimicrobials after visits for URIs and bronchitis decreased. However, the use of broad-spectrum antimicrobials rose from 10.6% of bronchitis visits to 40.5%. Prescriptions of antimicrobials for adults with URIs or bronchitis showed a decrease between 1993 and 1999.

Conclusions. Although antimicrobial prescribing for URIs and bronchitis has decreased for both children and adults, the prescribing of broad-spectrum antibiotics among children has shown a proportional rise.

This article has been cited by other articles:

				A. Coco and A. G. Mainous Relation of Time Spent in an Encounter With the Use of Antibiotics in Pediatric Office Visits for Viral Respiratory Infections Arch Pediatr Adolesc Med, December 1, 2005; 159(12): 1145 - 1149. [Abstract] [Full Text] [PDF]

				H. J. van Duijn, M. M. Kuyvenhoven, F. G. Schellevis, and T. J. M. Verheij Determinants of prescribing of second-choice antibiotics for upper and lower respiratory tract episodes in Dutch general practice J. Antimicrob. Chemother., August 1, 2005; 56(2): 420 - 422. [Abstract] [Full Text] [PDF]

				M. H. Ebell Antibiotic Prescribing for Cough and Symptoms of Respiratory Tract Infection: Do the Right Thing JAMA, June 22, 2005; 293(24): 3062 - 3064. [Full Text] [PDF]

				C. T. Evans, B. Smith, J. P. Parada, J. E. Kurichi, and F. M. Weaver Trends in antibiotic prescribing for acute respiratory infection in veterans with spinal cord injury and disorder J. Antimicrob. Chemother., June 1, 2005; 55(6): 1045 - 1049. [Abstract] [Full Text] [PDF]

				P. J. Chung and M. A. Schuster Access And Quality In Child Health Services: Voltage Drops Health Aff., September 1, 2004; 23(5): 77 - 87. [Abstract] [Full Text] [PDF]

				Inappropriate Antibiotic Use in Respiratory Infections Is Improving (Sort Of) Journal Watch (General), December 9, 2003; 2003(1209): 1 - 1. [Full Text]