Does attendance in outdoor kindergartens reduce the use of antibiotics in children?
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Does attendance in outdoor kindergartens reduce the use of antibiotics in children? / Olsen, Nanna Julie; Larsen, Sofus Christian; Køster-Rasmussen, Rasmus; Rohde, Jeanett Friis; Østergaard, Jane Nautrup; Heitmann, Berit Lilienthal; Specht, Ina Olmer.
I: Acta Paediatrica, International Journal of Paediatrics, Bind 112, Nr. 9, 2023, s. 1944-1953.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Does attendance in outdoor kindergartens reduce the use of antibiotics in children?
AU - Olsen, Nanna Julie
AU - Larsen, Sofus Christian
AU - Køster-Rasmussen, Rasmus
AU - Rohde, Jeanett Friis
AU - Østergaard, Jane Nautrup
AU - Heitmann, Berit Lilienthal
AU - Specht, Ina Olmer
N1 - Publisher Copyright: © 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
PY - 2023
Y1 - 2023
N2 - Aim: The aim of this study was to determine whether children enrolled in rural outdoor kindergartens had a lower risk of redeeming at least one prescription for antibiotics compared with children enrolled in urban conventional kindergartens, and if type of antibiotics prescribed differed according to kindergarten type. Methods: Two Danish municipalities provided data including civil registration numbers from children enrolled in a rural outdoor kindergarten in 2011–2019, and a subsample of all children enrolled in urban conventional kindergartens in the same period. Civil registration numbers were linked to individual-level information on redeemed prescriptions for antibiotics from the Danish National Prescription Registry. Regression models were performed on 2132 children enrolled in outdoor kindergartens, and 2208 children enrolled in conventional kindergartens. Results: There was no difference between groups in risk of redeeming at least one prescription for all types of antibiotics (adjusted risk ratio: 0.97 [95% confidence intervals 0.93, 1.02, p = 0.26]). Similarly, there were no differences between kindergarten type and risk of redeeming at least one prescription for systemic, narrow-spectrum systemic antibacterial, broad-spectrum systemic antibacterial or topical antibiotics. Conclusion: Compared with children who were enrolled in conventional kindergartens, children who were enrolled in outdoor kindergartens did not have a lower risk of redeeming prescriptions for any type of antibiotics.
AB - Aim: The aim of this study was to determine whether children enrolled in rural outdoor kindergartens had a lower risk of redeeming at least one prescription for antibiotics compared with children enrolled in urban conventional kindergartens, and if type of antibiotics prescribed differed according to kindergarten type. Methods: Two Danish municipalities provided data including civil registration numbers from children enrolled in a rural outdoor kindergarten in 2011–2019, and a subsample of all children enrolled in urban conventional kindergartens in the same period. Civil registration numbers were linked to individual-level information on redeemed prescriptions for antibiotics from the Danish National Prescription Registry. Regression models were performed on 2132 children enrolled in outdoor kindergartens, and 2208 children enrolled in conventional kindergartens. Results: There was no difference between groups in risk of redeeming at least one prescription for all types of antibiotics (adjusted risk ratio: 0.97 [95% confidence intervals 0.93, 1.02, p = 0.26]). Similarly, there were no differences between kindergarten type and risk of redeeming at least one prescription for systemic, narrow-spectrum systemic antibacterial, broad-spectrum systemic antibacterial or topical antibiotics. Conclusion: Compared with children who were enrolled in conventional kindergartens, children who were enrolled in outdoor kindergartens did not have a lower risk of redeeming prescriptions for any type of antibiotics.
KW - antibiotics
KW - children
KW - kindergartens
KW - outdoor
U2 - 10.1111/apa.16869
DO - 10.1111/apa.16869
M3 - Journal article
C2 - 37307024
AN - SCOPUS:85163030955
VL - 112
SP - 1944
EP - 1953
JO - Acta Paediatrica
JF - Acta Paediatrica
SN - 0803-5253
IS - 9
ER -
ID: 360258594