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Pediatric Medication Prescribing Across Urgent Care Visits: An Epidemiologic View from a Primary Care Setting in the
Reem S AlOmar1, Nouf A AlShamlan1, Ahmed A Al Yateem2
1Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31451, Saudi Arabia.
Insights
Pediatric urgent care visits in Saudi Arabia primarily involve respiratory and ENT conditions. Most prescriptions included antibiotics, with higher rates in adolescents and lower rates in infants, highlighting needs for better surveillance and resource planning.
Area of Science:
- Pediatric healthcare
- Primary healthcare
- Urgent care medicine
Background:
- Urgent care clinics (UCCs) in primary healthcare (PHC) manage pediatric acute conditions.
- Data on pediatric prescribing patterns, especially antibiotic use, in Saudi Arabia (KSA) are scarce.
- This study addresses the lack of data on pediatric urgent care visits and prescribing in KSA.
Purpose of the Study:
- To describe the epidemiology of pediatric urgent care visits.
- To identify factors associated with medication prescribing in pediatric urgent care.
- To analyze antibiotic prescribing patterns in pediatric urgent care within a KSA PHC setting.
Main Methods:
- Retrospective chart review of pediatric urgent care visits (<14 years) at a model PHC center in KSA during 2024.
- Extraction of sociodemographic data, visit timing, diagnoses, and prescription information from electronic health records.
- Multivariable logistic regression analysis to determine predictors of medication prescribing.
Main Results:
- 62.5% of 1016 pediatric urgent care visits resulted in prescriptions; 23.62% included antibiotics (primarily penicillins).
- Adolescents were 67% more likely to receive prescriptions, while infants were 70% less likely compared to school-aged children.
- Respiratory and ENT diagnoses were the most common reasons for prescriptions; no significant sex-based prescribing differences were found.
Conclusions:
- Respiratory and ENT conditions, alongside seasonal variations (autumn/winter), drive prescribing in pediatric urgent care.
- Findings support enhanced disease surveillance, demand forecasting, and preventive strategies like vaccination and health education.
- Evidence-based planning for PHC resources is crucial for optimizing pediatric urgent care services.
Abstract:
Background: Urgent care clinics (UCCs) embedded within primary healthcare settings play a vital role in managing acute, non-life-threatening conditions in children. However, limited data exist on medication prescribing patterns in such settings in the Kingdom of Saudi Arabia (KSA), particularly regarding antibiotic use. This study aimed to describe the epidemiology of pediatric urgent care visits and identify factors associated with prescribing within a model primary healthcare (PHC) center. Methods: A retrospective chart review was conducted for all urgent care visits made by pediatric patients (<14 years) at a model PHC center in the KSA for all visits in 2024. Sociodemographic variables, visit timing, diagnosis, and prescription data were extracted from electronic health records. Multivariable logistic regression was used to analyze predictors of medication prescribing. Results: Of the 1016 pediatric urgent care visits, 62.5% resulted in medication prescriptions, and 23.62% of those visits included at least one antibiotic, primarily penicillins (71.33%). Cephalosporins and tetracyclines were not prescribed. Prescriptions were 67% more likely among adolescents and 70% less likely among infants when compared to school-aged children (95% CI = 1.04-2.67 and 95% CI = 0.15-0.61, respectively). Respiratory and ENT-related diagnoses accounted for most prescriptions. No significant sex-based differences in prescribing were observed. Conclusions: The epidemiological patterns observed indicate that respiratory and ENT conditions, as well as seasonal peaks in autumn and winter, are the main drivers of prescribing in pediatric urgent care. These findings have implications for strengthening disease surveillance, anticipating service demand, guiding preventive interventions such as vaccination and health education, and supporting evidence-based planning of primary care resources.
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