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. 2021 May 10;31(1):24.
doi: 10.1038/s41533-021-00234-y.

Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China

Mengyuan Fu  1   2 , Haishaerjiang Wushouer  1   3 , Lin Hu  1 , Nan Li  4 , Xiaodong Guan #  5   6 , Luwen Shi #  7   8 , Dennis Ross-Degnan  2
Affiliations

Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China

Mengyuan Fu et al. NPJ Prim Care Respir Med. .

Abstract

Inappropriate prescribing for acute bronchitis in primary healthcare settings (PHSs) is commonly seen worldwide. Here we describe the prescribing patterns and antibiotic use for acute bronchitis in PHSs across China. We conduct a nationwide cross-sectional survey to collect outpatient prescriptions from PHSs in 2017. Patients diagnosed with acute bronchitis without other infections are eligible for this study. Generalized estimating equations are used for analysis. Overall, 10,678 prescriptions for acute bronchitis from 214 institutions are included. The antibiotic prescription rate is 44.5% for total prescriptions, and differs significantly by region and urban/rural status (p < 0.05). Among all single-antibiotic prescriptions, 91.5% are broad-spectrum. Two-thirds of the prescriptions contain medicines for symptom management. The overall guideline compliance rate of acute bronchitis treatment for adults is 31.0%. Prescribing antibiotics, especially broad-spectrum ones, for acute bronchitis is commonly observed in Chinese PHSs. Targeted interventions are urgently needed for Chinese primary clinicians, especially in western rural areas.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. Albert RH. Diagnosis and treatment of acute bronchitis. Am. Fam. Phys. 2010;82:1345–1350. - PubMed
    1. Singh, A., Avula, A. & Zahn, E. In StatPearls (StatPearls Publishing, 2020). - PubMed
    1. Smith SM, Fahey T, Smucny J, Becker LA. Antibiotics for acute bronchitis. Cochrane Database Syst. Rev. 2017;6:CD000245. - PMC - PubMed
    1. Pagels CM, Dilworth TJ, Fehrenbacher L, Singh M, Brummitt CF. Impact of an electronic best-practice advisory in combination with prescriber education on antibiotic prescribing for ambulatory adults with acute, uncomplicated bronchitis within a large integrated health system. Infect. Control Hosp. Epidemiol. 2019;40:1348–1355. doi: 10.1017/ice.2019.295. - DOI - PubMed
    1. Harris, A. M., Hicks, L. A. & Qaseem, A. & High Value Care Task Force of the American College of Physicians and for the Centers for Disease Control and Prevention. Appropriate antibiotic use for acute respiratory tract infection in adults: advice for high-value care from the American College of Physicians and the Centers for Disease Control and Prevention. Ann. Intern. Med. 164, 425–434 (2016). - PubMed

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