THE USE OF ANTIBIOTICS IN THE TREATMENT OF ACUTE RESPIRATORY INFECTIONS: THE CLINICAL ASPECT

Goal. To study the impact of implementing strategies to reduce antibiotic prescribing in the treatment of uncomplicated acute bronchitis among adolescents and adults at the Republican Clinical Hospital in Makhachkala. Materials and methods. The study included patients aged 13 years and older who came to the clinic with a diagnosis of uncomplicated acute bronchitis in the period from 2023 to 2024. The analysis included data from electronic medical records representing visits without previous visits for 30 days, and used statistical methods to assess changes in antibiotic prescribing. Results. There was a decrease in antibiotic prescribing in the age groups of 13-17 and 18-34 years. During the study period, the proportion of patients receiving antibiotics decreased from 75.0% to 64.1% for the 13-17-year group and from 72.0% to 58.7% for the 18-34-year group. Conclusions. The implementation of strategies to review antibiotic prescribing has shown its effectiveness in reducing their use in acute bronchitis. The present results emphasize the importance of educational and clinical measures focused on the rational use of antibiotics.