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Physician consultation and antibiotic prescription in Swedish infants: Population-based comparison of group daycare and home care
Unit of R and D, Kronoberg County Council, Växjö, Sweden, Department of Clinical Sciences in Malmö - General Practice/Family Medicine, Lund University, FoU Centrum, Box 1223, S-351 12 Växjö, Sweden.
Centre for Clinical Research, Dalarna, Falun, Sweden.
Håkansson, A., Department of Clinical Sciences in Malmö - General Practice/Family Medicine, Lund University.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, General Practice.
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2007 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 96, no 7, 1059-1063 p.Article in journal (Refereed) Published
Abstract [en]

Background: Daycare infants have more infectious episodes, see a physician more often, and are prescribed antibiotics more often than home care infants. Aim: To compare physician consultations and antibiotic prescription in daycare children and home care children taking number of symptom days, sociodemographic factors, concern about infectious illness and antibiotic knowledge into account. Methods: For a cohort of Swedish 18-month-old children all infectious symptoms, physician consultation and antibiotic prescriptions were registered during 1 month. Results: 561 infants with daycare outside the home and 278 with daycare at home were included. Of the daycare infants, 23.2% saw a physician and 11.4% were prescribed antibiotics, as compared with 10.8% physician consultations and 5.0% antibiotic prescription for the home care infants. For daycare infants the crude odds ratio for physician consultation were 2.49 (1.63-3.82) and for antibiotic prescription 2.43 (1.34-4.41) compared with home care infants. However, these differences were no longer statistically significant when background data, concern about infectious illness and reported symptoms were taken into account. Conclusion: When background data, concern about infectious illness and reported infectious symptoms were taken into account daycare infants saw a physician and was prescribed antibiotics in the same way as home care infants © 2007 The Author(s).

Place, publisher, year, edition, pages
2007. Vol. 96, no 7, 1059-1063 p.
Keyword [en]
Antibiotic consumption, Daycare, Infants, Infectious symptoms, Physician consultation
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-49177DOI: 10.1111/j.1651-2227.2007.00323.xOAI: oai:DiVA.org:liu-49177DiVA: diva2:270073
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12

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Mölstad, Sigvard

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