Unbeneficial effects of not prescribing antibiotics to pediatric patients with acute upper respiratory infection: a descriptive epidemiological study based on a large Japanese medical claim database.

ABSTRACT:

Background

National Action Plan on Antimicrobial Resistance in Japan recommends further strengthening of antimicrobial stewardship (AS) for acute upper respiratory infection (URI) in outpatients. AS initiatives for outpatients include the establishment of an AS implementation fee that can be claimed when a physician does not prescribe antibiotics to a pediatric patient diagnosed with acute URI that does not require antibiotics, after providing sufficient explanation. However, in Japan, unbeneficial effects of not prescribing antibiotics for acute URIs have not been clarified. This study aimed to investigate whether there were any unbeneficial effects in pediatric patients with acute URIs who claimed the AS implementation fee and were not prescribed antibiotics using a large Japanes

SUBMITTER: Mizuno K 

PROVIDER: S-EPMC12797695 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature