Abstract
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.
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.
Originalsprog | Engelsk |
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Tidsskrift | Acta Paediatrica, International Journal of Paediatrics |
Vol/bind | 112 |
Udgave nummer | 9 |
Sider (fra-til) | 1944-1953 |
Antal sider | 12 |
ISSN | 0803-5253 |
DOI | |
Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:The study was supported by 15. Juni Fonden (grant ID 2020–0203) and Vemmetofte Kloster (no grant ID). The study is part of the ‘ODIN; OutDoor kINdergarten—a healthier choice?’ project, supported by Aase og Ejnar Danielsens Fond (grant ID 19‐10‐0211), Helsefonden (grant ID 19‐B‐0079), Rosalie Petersens Fond (grant ID 020432‐0001), Beckett‐Fonden (grant ID 20‐2‐6761) and Steno Diabetes Center Aarhus (no grant ID). The Parker Institute at Bispebjerg and Frederiksberg Hospital was supported by a core grant from the Oak Foundation (OCAY‐18–774‐OFIL).
Publisher Copyright:
© 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.