Antibiotic Use in the Outpatient Department in China

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90487536830In patients with acute bronchitis (I), which between a broad-spectrum antibiotic (I) versus supportive treatment alone (C) significantly reduce the lost working hours and days (O) over the course of one-week treatment?00In patients with acute bronchitis (I), which between a broad-spectrum antibiotic (I) versus supportive treatment alone (C) significantly reduce the lost working hours and days (O) over the course of one-week treatment?
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1 Fu, M., Wushouer, H., Hu, L., Li, N., Guan, X., Shi, L., & Ross-Degnan, D. NPJ primary care respiratory medicine, 31(1), 1-7.

Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China. 2021.

The study aims to investigate antibiotic use in the outpatient department, identify the prognosticators of its use, and ascertain the patterns in prescribing antibiotics in patients with acute bronchitis in primary outpatient settings in China.

Quantitative

The samples were taken from township hospitals in rural areas and community health centers in urban areas across China.

The Anatomical Therapeutic and Chemical classification J01 was used to classify the type of antibiotic.

National cross-sectional survey

Chinese primary healthcare settings frequently prescribe broad-spectrum antibiotics, accounting for 91.5% of all prescriptions. Overall, the rate is at 44.5%, with variations between rural and urban areas computed at a p-value of less than 0.05. Lastly, only 31% of the prescribing physicians follow the guidelines for acute bronchitis treatment in adults.

N/A

The article supports broad-spectrum antibiotics in treating acute bronchitis, as practiced by primary healthcare physicians in China. However, it also contradicts the validity of its use as most did not follow the guidelines.

2 Kruttschnitt, E., Wegener, T., Zahner, C., & Henzen-Bücking, S. Evidence-Based Complementary and Alternative Medicine.

Assessment of the efficacy and safety of ivy leaf (Hedera helix) cough syrup compared with acetylcysteine (ACC) in adults and children with acute bronchitis. 2020.

The study aims to investigate the effectiveness of ivy leaf extract-containing cough syrup versus ACC in children and adults with acute bronchitis.

Quantitative

The samples were taken from 139 Swiss patients, gathered by 25 physicians. The recruitment began in January 2017 to March 2018. The included patients were six years old and above who present with symptoms of acute bronchitis plus productive cough that lasted for at least three days. They must not be treated with the intervention in the study. Those with hypersensitivity to the components of t...