Influenza like Illness (ILI): prescribing behaviour of 83 sentry doctors in Lazio region in the period 2001-2002. Is it adherent to Italian ILI guidelines?

To describe different doctors' attitudes in drug prescribing in case of influenza-Like-Illness during 2001-2002 influenza season in Lazio region, with regard to consumption and expenditure and its adherence to Italian Guidelines on ILI Management. Prospective study aimed to assess doctors'...

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Bibliographic Details
Published inAnnali di igiene Vol. 19; no. 1; p. 19
Main Authors Orzella, L, Perria, C, Jefferson, T, Pasquarella, A, D'Amato, M, Faraone, M, Volpe, E, Guasticchi, G
Format Journal Article
LanguageEnglish
Published Italy 01.01.2007
Subjects
Adolescent
Adult
Aged
Child
Child, Preschool
Drug Prescriptions - statistics & numerical data
Family Practice
Female
Guideline Adherence - statistics & numerical data
Humans
Infant
Infant, Newborn
Influenza Vaccines - administration & dosage
Influenza, Human - drug therapy
Influenza, Human - prevention & control
Italy
Male
Middle Aged
Practice Guidelines as Topic
Practice Patterns, Physicians' - statistics & numerical data
Prospective Studies
Italy
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Summary:To describe different doctors' attitudes in drug prescribing in case of influenza-Like-Illness during 2001-2002 influenza season in Lazio region, with regard to consumption and expenditure and its adherence to Italian Guidelines on ILI Management. Prospective study aimed to assess doctors' behaviour in prescribing in respect with the following events: (a) ILI and subsequent controls after diagnosis, (b) complications, (c) adverse events to influenza vaccine. 7,629 subjects, have been identified and only 17% presents one or more comorbidities. There are totally 7,766 cases of ILI: 23% are complicated and out of the remaining 77%, only 14% presents comorbidities. Almost all elderly people have been vaccinated. Antibiotics were prescribed to complicated cases (82%) with comorbidities (55%); 1,075 patients (12%) had second or third contact with doctors in a period longer than 7 days and about 65% of them received antibiotics in case of acute bronchitis; children received mainly ibuprofen and paracetamol for fever control; acetylsalicylic acid in children group has been delivered only in 1% of cases. Overall, doctors' attitude in prescribing is generally coherent with Italian Guidelines on ILI even though a high variability still persists.
ISSN:1120-9135