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released: 9 Nov 2012 author: AIHW media release

Appropriate use of medications is important in maximising health benefits for patients, minimising the negative effects of medications, and controlling health costs. This report focuses on the appropriate use of certain medications for the management of obstructive airways disease, including asthma and chronic obstructive pulmonary disease (COPD). Data in this report suggest that antibiotics are commonly used among patients with asthma and COPD, and that supply patterns for inhaled corticosteroids are often not consistent with treatment guidelines for the management of these conditions.

ISBN 978-1-74249-366-4; Cat. no. ACM 24; 55pp.; $18

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Publication

Publication table of contents

  • Preliminary material
    • Title and verso page
    • Contents
    • Acknowledgments
    • Abbreviations
    • Summary
    • Use of antibiotics by people with obstructive airways disease
    • Co-prescribing of antibiotics and one-off inhaled corticosteroids
  • Body section
    • 1 Introduction
      • Antibiotics and asthma
      • Antibiotics and COPD
      • Inhaled corticosteroids and antibiotics
      • Rationale for this report
    • 2 Methods
      • Data sources
        • Pharmaceutical Benefits Scheme data
        • Limitations of PBS data for studying obstructive airways disease
        • PBS study population
        • The Longitudinal Study of Australian Children
        • LSAC study population
      • Data analysis
        • Pattern of antibiotic use among people dispensed any medications for obstructive airways
        • disease
        • Co-dispensing of an antibiotic with a one-off inhaled corticosteroid
        • Cost to Government
        • Definitions
        • Concession card holders
        • Medications for obstructive airways disease
        • Antibiotics
        • Co-dispensing of an antibiotic and one-off inhaled corticosteroids
        • Statistical procedures
    • 3 Pattern of use of antibiotics in people with obstructive airways disease
      • Pattern of use of antibiotics among people taking any respiratory medications
      • Frequency of dispensing of oral antibiotics and inhaled corticosteroids among children
      • Frequency of dispensing of oral antibiotics and inhaled corticosteroids among adults
    • 4 Pattern of use of antibiotics among adults most likely to have COPD
      • Frequency of dispensing of oral antibiotics among adults most likely to have COPD
      • Seasonality
    • 5 Are inhaled corticosteroids being used¬† as treatment for respiratory tract infections?
      • Frequency of co-dispensing inhaled corticosteroids and oral antibiotics
      • Seasonality of co-dispensing of one-off inhaled corticosteroid and oral antibiotics
      • Type of antibiotic co-dispensed with one-off inhaled corticosteroid
      • Other types of medication dispensed within the co-dispensing period
      • Cost of one-off inhaled corticosteroid dispensing to Government
    • 6 Conclusions
      • Limitations of the data used in this study
      • Use of antibiotics in people with obstructive airways disease
      • Co-prescribing of one-off ICS and antibiotics
  • End matter
    • Appendix A: Additional tables
    • Appendix B: Sensitivity analysis
    • References
    • List of tables
    • List of figures

Recommended citation

AIHW 2012. Medications prescribed for people with obstructive airways disease: antibiotics and inhaled corticosteroids. Cat. no. ACM 24. Canberra: AIHW.