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Table 2 Most common diagnoses in Estonia for which antibiotics are prescribed, guideline recommendations and the selection of drugs by physician speciality – percentage of prescriptions for specific diagnosis by speciality and No of prescriptions

From: Antibiotic prescription preferences in paediatric outpatient setting in Estonia and Sweden

Diagnosis (Total No of prescriptions)

Primary recommendation in guidelines

Alternative recommendation in guidelines

GPs

Paediatricians

Ear, nose and throat physicians

Acute bronchitis (n = 31,670)

Antibiotics not indicated

NA

Clarithromycin (45%; n = 11,658)

Clarithromycin (50.5%; n = 2,342)

Clarithromycin (59%; n = 39)

   

Amoxicillin (28%; n = 7,243)

Amoxicillin (22%; n = 1,040) Amoxicillin + clavulanic acid (9%; n = 418)

Amoxicillin (18%; n = 12) Amoxicillin + clavulanic acid (9% n = 6)

   

Amoxicillin + clavulanic acid (10%; n = 2,486)

Non-suppurative otitis media ( n = 26,130)

Amoxicillin or penicillin

Macrolide if penicillin allergy

Amoxicillin (46%; n = 7,616)

Amoxicillin (49%; n = 1,432)

Amoxicillin (41%; n = 2,522)

   

Amoxicillin + clavulanic acid (24%; n = 3,859)

Amoxicillin + clavulanic acid (17%; n = 497)

Amoxicillin + clavulanic acid (21%; n = 1306)

   

Cefprozil (11%; n = 1,757)

Cefuroxim (13%; n = 381)

Cefprozil (12%; n = 742)

Acute tonsillitis (n = 18,890)

Phenoxymethylpenicillin or amoxicillin

Macrolide if penicillin allergy

Amoxicillin (30%; n = 4,443)

Phenoxymethylpenicillin (27%; n = 719)

Clarithromycin (24%; n = 228) Cefadroxil (16%; n = 145) Amoxicillin + clavulanic acid (14%; n = 131)

   

Cefadroxil (18%; n = 2,598)

Amoxicillin (27%; n = 719) Amoxicillin + clavulanic acid (13%; n = 339)

 
   

Phenoxymethylpenicillin (15%; n = 2,201)