1. Practice patterns for lower respiratory tract infections in hospital patients with particular focus on bacteriological examinations and injection antibiotics use
- Author
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Wada M, Nakayama T, Ishizaki T, Satoh T, and Ikeda S
- Subjects
Medicine (General) ,R5-920 - Abstract
Mikio Wada,1 Takeo Nakayama,2 Tatsuro Ishizaki,3 Toshihiko Satoh,4 Shunya Ikeda51General Internal Medicine, Fukuchiyama City Hospital, Fukuchiyama, Kyoto, Japan; 2Department of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan; 3Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan; 4School of Social Informatics, Aoyama Gakuin University, Sagamihara, Kanagawa, Japan; 5Department of Pharmaceutical Sciences, School of Pharmacy, International University of Health and Welfare, Ohtawara, Tochigi, JapanBackground: Various types of medical institutions perform treatments for lower respiratory tract infections. However, few studies have assessed and compared practice patterns across different medical institutions in Japan. To assess practice patterns for community-acquired lower respiratory tract infections among patients who needed hospitalization, we examined the use of injection antibiotics and the implementation of bacteriological examinations, and compared these across medical institutions. We then evaluated whether bacteriological examinations were being adequately implemented.Methods: A cross-sectional study was conducted using a database of health insurance claims. Subjects were patients ≥16 years old) who received injection antibiotics to treat lower respiratory tract infections, and who were listed among 2004–2007 insurance claims data. For each type of antibiotic, we obtained the dose prescribed, the number of patients treated, and the frequency of bacteriological examinations.Results: A total of 1649 patients were evaluated. The implementation rate of Gram stain and sputum culture was 14% at clinics (
- Published
- 2013