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Open Access Research article

Assessment of antibiotic prescribing in Latvian general practitioners

Uga Dumpis13*, Elīna Dimiņa1, Mārtiņš Akermanis3, Edgars Tirāns2 and Sarmīte Veide2

Author Affiliations

1 Department of Infection Control, Pauls Stradins University Hospital, Pilsonu street 12, LV-1002, Riga, Latvia

2 Association of Family Physicians, Latvia

3 University of Latvia, Riga, Latvia

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BMC Family Practice 2013, 14:9  doi:10.1186/1471-2296-14-9

Published: 12 January 2013

Abstract

Background

Though general antibiotic consumption data is available, information on the actual patterns of prescribing antibiotics locally is difficult to obtain. An easy to use methodology was designed to assess ambulatory management of infections by Latvian general practitioners (GPs).

Methods

GPs were asked to record data in a patient data collection form for every patient that received antibiotics. Study period – (7 days) one week in November, 2008. Data recorded included the following details: an antibiotic, the prescribed dose, dosing interval, route of administration combined with the demographic factors of the patient and clinical diagnosis based on a pre-defined list.

Results

Two hundred forty eight forms out of the 600 (41%) were returned by post. Antibiotics were prescribed in 6.4% (1711/26803) of outpatient consultations. In total, 1763 antibiotics were prescribed during the study period. Ninety seven percent of the patients received monotherapy and only 47 (2.7%) patients were prescribed two antibiotics. The most commonly prescribed antibiotics were amoxicillin (33.9% of prescribed), amoxicillin/clavulanate (18,7%) and clarithromycin (7.6%). The most commonly treated indications were pharyngitis (29.8%), acute bronchitis (25.3%) and rhinosinusitis (10.2%). Pneumonia was mostly treated with amoxicillin/clavulanate (25,7%), amoxicillin (15.7%) and clarithromycin (19.3%).

Conclusions

Methodology employed provided useful additional information on ambulatory practice of prescribing antibiotics and could be used in further assessment studies. Educational interventions should be focused on treatment of acute pharyngitis and bronchitis in children and unnecessary use of quinolones in adults for uncomplicated urinary tract infection.

Keywords:
Antibiotic use; General practitioners; Treatment of infection