Antibiotic Use in Children with Acute Respiratory or Ear Infections: Prospective Observational Comparison of Anthroposophic and Conventional Treatment under Routine Primary Care Conditions
Joint Authors
Hamre, Harald J.
Glockmann, Anja
Schwarz, Reinhard
Riley, David S.
Baars, Erik W.
Kiene, Helmut
Kienle, Gunver
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-17, 17 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-17
Country of Publication
Egypt
No. of Pages
17
Main Subjects
Abstract EN
Children with acute respiratory or ear infections (RTI/OM) are often unnecessarily prescribed antibiotics.
Antibiotic resistance is a major public health problem and antibiotic prescription for RTI/OM should be reduced.
Anthroposophic treatment of RTI/OM includes anthroposophic medications, nonmedication therapy and if necessary also antibiotics.
This secondary analysis from an observational study comprised 529 children <18 years from Europe (AT, DE, NL, and UK) or USA, whose caregivers had chosen to consult physicians offering anthroposophic (A-) or conventional (C-) treatment for RTI/OM.
During the 28-day follow-up antibiotics were prescribed to 5.5% of A-patients and 25.6% of C-patients ( P < 0.001 ); unadjusted odds ratio for nonprescription in A- versus C-patients 6.58 (95%-CI 3.45–12.56); after adjustment for demographics and morbidity 6.33 (3.17–12.64).
Antibiotic prescription rates in recent observational studies with similar patients in similar settings, ranged from 31.0% to 84.1%.
Compared to C-patients, A-patients also had much lower use of analgesics, somewhat quicker symptom resolution, and higher caregiver satisfaction.
Adverse drug reactions were infrequent (2.3% in both groups) and not serious.
Limitation was that results apply to children of caregivers who consult A-physicians.
One cannot infer to what extent antibiotics might be avoided in children who usually receive C-treatment, if they were offered A-treatment.
American Psychological Association (APA)
Hamre, Harald J.& Glockmann, Anja& Schwarz, Reinhard& Riley, David S.& Baars, Erik W.& Kiene, Helmut…[et al.]. 2014. Antibiotic Use in Children with Acute Respiratory or Ear Infections: Prospective Observational Comparison of Anthroposophic and Conventional Treatment under Routine Primary Care Conditions. Evidence-Based Complementary and Alternative Medicine،Vol. 2014, no. 2014, pp.1-17.
https://search.emarefa.net/detail/BIM-1018267
Modern Language Association (MLA)
Hamre, Harald J.…[et al.]. Antibiotic Use in Children with Acute Respiratory or Ear Infections: Prospective Observational Comparison of Anthroposophic and Conventional Treatment under Routine Primary Care Conditions. Evidence-Based Complementary and Alternative Medicine No. 2014 (2014), pp.1-17.
https://search.emarefa.net/detail/BIM-1018267
American Medical Association (AMA)
Hamre, Harald J.& Glockmann, Anja& Schwarz, Reinhard& Riley, David S.& Baars, Erik W.& Kiene, Helmut…[et al.]. Antibiotic Use in Children with Acute Respiratory or Ear Infections: Prospective Observational Comparison of Anthroposophic and Conventional Treatment under Routine Primary Care Conditions. Evidence-Based Complementary and Alternative Medicine. 2014. Vol. 2014, no. 2014, pp.1-17.
https://search.emarefa.net/detail/BIM-1018267
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1018267