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Collegium antropologicum, Vol.32 No.1 May 2008. -

The use of antibiotics depends on cultural and socioeconomic factors, physician’s characteristics as well as on microbiological

considerations. Aim of our study was to asses antibiotic prescription among preschool children in primary

health care in Croatia in relation to socioeconomic factors, symptoms and diagnoses, and type of health care provider.

Retrospective longitudinal survey was conducted in 7 teaching primary health care offices in the Croatian capital of

Zagreb during 2004, among 1700 preschool children. Antibiotics were prescribed to 611 46% children. Significantly

more antibiotics were prescribed to boys 66.7%, P=0.024 and to children whose parents had lower educational level.

Most frequently antibiotics were prescribed for the symptoms such as fever 32%, cough 32.5%, nasal discharge 12%,

and for the diagnoses such as respiratory diseases J00-J99 40%, infectious and parasitic diseases A00-A99 31%,

and diseases of the middle ear and mastoid H60-H95 15%. Logistic regression analyses also predicted correlation of

antibiotic prescriptions with socioeconomic factors, symptoms and diagnoses and health care of pediatrician. Prescription

of antibiotics for preschool children in primary health care in Croatia related to socioeconomic factors, type of health

care provider, certain symptoms and diagnosis groups which should be taken into account when assessing and planning

primary health care for preschool children.

antibiotics; preschool children; primary health care; socioeconomic factors; symptoms; diagnosis



Autor: Stanislava Stojanović-Špehar - Sanja Blažeković-Milaković - Biserka Bergman-Marković - Marija Vrca-Botica - Ivana Matijaše

Fuente: http://hrcak.srce.hr/



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