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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

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Minerva Pediatrica 2014 June;66(3):209-16

language: English

Antibiotic prescription practices for common infections and knowledge about antibiotic costs by private-practice pediatricians in Greece

Maltezou H. C. 1, Katerelos P. 1, Asimaki H. 2, Roilides E. 3, Theodoridou M. 2

1 Department for Interventions in Health‑Care Facilities, Hellenic Center for Disease Control and Prevention, Athens, Greece;
2 1st Department of Pediatrics, University of Athens, “Aghia Sophia” Children’s Hospital, Athens, Greece;
3 3rd Department of Pediatrics, Aristotle University School of Medicine, Hippokration Hospital, Thessaloniki, Greece


AIM: Greece is among the European countries with the highest antibiotic consumption in the community. We investigated the antibiotic prescription practices by private-practice paediatricians, using the 2007 national guidelines for antibiotic use as the gold standard.
METHODS: A standardized questionnaire was distributed to 520 private-practice pediatricians. There were 6 scenarios about common infections.
RESULTS: A total of 124 pediatricians participated (23.8% response rate). Compliance with the first recommended antibiotic was 48% for streptococcal pharyngitis, 30.6% for community-acquired pneumonia, 12.4% for urinary tract infection, 67.8% for bacterial skin infection, 48.8% for acute otitis media, and 18.2% for bacterial pneumonia. The highest variation in antibiotic prescription concerned the community-acquired pneumonia scenario (11 antibiotics, including 6 beyond the guidelines). The overall mean compliance rate with the first recommended antibiotic was 37.4%. The mean compliance rates were 49.2%, 36.4%, 35.8%, and 27.5% in the <40, 41-50, 51-60, and >60 years age groups, respectively (P value<0.001).
CONCLUSION: Five years after the first guidelines about antibiotic use were issued in Greece, a wide range of antibiotic prescription practices by private-practice pediatricians was discovered, with only one every three pediatricians complying fully with them.

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