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.
Abstract

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
188
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
219
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
165
Antimicrobial Effectiveness01:28

Antimicrobial Effectiveness

The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
870
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
231
Pharmacokinetics: Drug–Food and Drug–Viral Interactions01:26

Pharmacokinetics: Drug–Food and Drug–Viral Interactions

A drug interaction occurs when the concurrent use of another drug, food, or an external substance alters the pharmacological activity of a drug. This interaction can modify the action of the original drug, affecting its effectiveness and safety.Drug–food interactions are significant as they impact drug absorption, metabolism, and excretion. For example, grapefruit juice is a well-known disruptor of drug metabolism. It inhibits the cytochrome P450 3A4 enzyme, crucial for the metabolism of...
184