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Published on: August 30, 2018
Finnish Healthcare Professionals' Online Searches for Paediatric Oral Antibiotics: COVID-19 Impact, 2017-2023
M Mukka1, O Helve2,3, P Mustonen4
1University of Helsinki, Helsinki, Finland.
Insights
Healthcare professionals
Area of Science:
- Pediatric infectious diseases
- Antimicrobial stewardship
- Public health surveillance
Background:
- Physician's Databases in Finland are a key online resource for healthcare professionals.
- Understanding trends in antibiotic use and diagnoses is crucial for public health.
- The COVID-19 pandemic significantly impacted healthcare practices and information-seeking behaviors.
Purpose of the Study:
- To analyze trends in healthcare professionals' online searches for pediatric oral antibiotics.
- To examine antibiotic prescriptions and COVID-19 diagnoses in children under 5-6 years.
- To correlate information-seeking behavior with clinical antibiotic use.
Main Methods:
- Analyzed 1,231,383 antibiotic searches from Physician's Databases (2017-2023).
- Examined 492,407 pediatric antibiotic prescriptions and 42,293 pediatric COVID-19 diagnoses.
- Focused on seven common oral antibiotic suspensions, particularly amoxicillin.
Main Results:
- Amoxicillin was the most searched antibiotic, exhibiting seasonal patterns.
- A significant decrease in antibiotic searches and prescriptions occurred from March 2020 to August 2021.
- Searches for amoxicillin increased with two major peaks between September 2021 and August 2023.
Conclusions:
- Online information-seeking for pediatric antibiotics decreased sharply post-COVID-19 onset but recovered within two years.
- Healthcare professionals' search trends reflect shifts in antibiotic use.
- Monitoring online search behavior can offer insights into clinical antibiotic utilization in children.
Aim:
This study explores the trends in healthcare professionals' searches for children's oral suspension of antibiotics and antibiotic prescriptions, as well as COVID-19 diagnoses in children under 5-6 years of age.
Methods:
In Finland, Physician's Databases serve as a medical online source for healthcare professionals. Searches for seven oral suspensions of antibiotics (amoxicillin, amoxicillin/clavulanic acid, phenoxymethylpenicillin, cephalexin, azithromycin, clarithromycin and erythromycin) were analysed in 2017-2023, alongside children's antibiotic prescriptions from the Social Insurance Institution, as well as children's COVID-19 diagnoses from the register of the Finnish Institute for Health and Welfare.
Results:
There were 1 231 383 antibiotic searches, 492 407 antibiotic prescriptions and 42 293 diagnoses for COVID-19 in children. Amoxicillin was searched most (498 276) with clear seasonal patterns, and the decrease appeared in searches and prescriptions during March 2020-August 2021. Amoxicillin searches also showed an increase with two major peaks during September 2021-August 2023.
Conclusion:
Healthcare professionals' online information-seeking for children's oral suspension of antibiotics showed a great decrease in searches after the start of COVID-19 but rapidly increased 2 years later. Information-seeking behaviour may be used to monitor the clinical use of antibiotics in children.
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