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JAC Advance Access originally published online on November 18, 2002
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Journal of Antimicrobial Chemotherapy (2002) 50, 1085-1088
© 2002 The British Society for Antimicrobial Chemotherapy

A population study of first exposure to community antibacterials in children and the suitability of routine urine samples for study of the acquisition of drug resistance

Douglas Steinke1, Alistair Emslie-Smith2, Paul Boyle3, Hilary Kay Young4, George Macfarlane5 and Peter Davey1,*

1 MEMO, Department of Clinical Pharmacology, Ninewells Hospital, University of Dundee, Dundee DD1 9SY; 2 General Practitioner, Red Wing, Wallacetown Health Centre, Dundee; 3 Department of Geography and Geosciences, University of St Andrews, St Andrews; 4 Division of Environmental and Applied Biology, School of Life Sciences, University of Dundee; 5 Department of Molecular and Cellular Pathology, University of Dundee, Dundee, UK

Received 14 January 2002; returned 20 June 2002; revised 15 August 2002; accepted 28 August 2002

The study objectives were to measure time from birth to first exposure to antibacterials in children and compare the characteristics of children who submit urine samples with the general population. Antibacterials were dispensed to 63% of children within 1 year of birth, increasing to 75% within 2 years after birth. Boys had earlier exposure to antibacterials than girls. Children submitting urine samples were more likely to be socio-economically deprived, have prior exposure to antibacterials and have prior hospital admission. In conclusion, urine samples are unsuitable for a prospective cohort study of the relationship between antibacterial exposure and resistance in children.

* Corresponding author. Tel: +44-1382-644144; Fax: +44-1382-642637; E-mail: peter{at}memo.dundee.ac.uk


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