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"Common Cold"

Original Articles

Content Analysis of YouTube Videos on the Effect of Vitamin C on Common Cold
Donghwi Park, Sang Gyu Kwak, Saeyoon Kim, Min Cheol Chang
Korean J Fam Med 2023;44(6):342-346.   Published online October 18, 2023
DOI: https://doi.org/10.4082/kjfm.23.0093
Background
With the growth of the Internet, social media platforms have emerged as major sources of medical information. We assessed the reliability, quality, and accuracy of the most-viewed YouTube videos containing information on the effect of vitamin C on the common cold.
Methods
The YouTube videos were searched on August 1, 2022, using the keywords: (“ascorbic acid” OR “vitamin C” OR “Sodium Ascorbate” OR “L-ascorbic”) AND “common cold”. The 30 most-viewed videos were included in our study. The reliability and quality of the videos were analyzed using modified DISCERN and Global Quality Scales, respectively. When the videos included at least one correct or inaccurate scientific statement about the effect of vitamin C on the common cold, they were classified as accurate or misleading videos, respectively; those without any pertinent information were considered neither accurate nor misleading. If a video contained both accurate and inaccurate statements, it was classified as misleading.
Results
Of the 30 most-viewed videos, 73% were unreliable, and 67% contained misleading information and were of a poor quality. Of these 30 videos, 14 videos were produced and posted by customers who were not specialized in medicine or nutrition. Moreover, these videos were of significantly lower reliability, quality, and accuracy than those produced by nutrition or fitness channels or by medical or nutrition professionals.
Conclusion
The reliability, quality, and accuracy of videos uploaded by non-professionals were low. Therefore, video creators should upload reliable, high-quality videos to ensure the dissemination of accurate medical information.

Citations

Citations to this article as recorded by  
  • Regulatory systems and scientific evidence for health functional foods in Korea
    Seung-Won Oh
    Journal of the Korean Medical Association.2025; 68(5): 311.     CrossRef
  • Evaluating the Quality and Reliability of YouTube Videos Providing Nutritional Recommendations for Irritable Bowel Syndrome
    Eda Başmısırlı, Merve Kip, Hande Altun, Neriman İnanç
    Journal of Human Nutrition and Dietetics.2025;[Epub]     CrossRef
  • Characteristics of the most viewed Hybrid Assistive Limb-related videos on YouTube
    Makoto Nagasawa, Sho Nakamura, Hiroto Narimatsu
    Health Informatics Journal.2024;[Epub]     CrossRef
  • Guidelines for nutrition counseling in primary healthcare clinics
    Gyeongsil Lee, Seung-Won Oh
    Journal of the Korean Medical Association.2024; 67(4): 278.     CrossRef
  • YouTube, Health Information, and Health Literacy
    Seung-Won Oh
    Korean Journal of Family Medicine.2023; 44(6): 301.     CrossRef
  • 6,126 View
  • 86 Download
  • 5 Web of Science
  • 5 Crossref
Association between Physical Activity Levels and Physical Symptoms or Illness among University Students in Korea
Sang-Hyun Ahn, Yoo-Jin Um, Young-Ju Kim, Hyun-Joo Kim, Seung-Won Oh, Cheol Min Lee, Hyuktae Kwon, Hee-Kyung Joh
Korean J Fam Med 2016;37(5):279-286.   Published online September 21, 2016
DOI: https://doi.org/10.4082/kjfm.2016.37.5.279
Background

Low levels of physical activity can cause various physical symptoms or illness. However, few studies on this association have been conducted in young adults. The aim of this study was to investigate the association between physical activity levels and physical symptoms or illness in young adults.

Methods

Subjects were university students who participated in a web-based self-administered questionnaire in a university in Seoul in 2013. We obtained information on physical activities and physical symptoms or illness in the past year. Independent variables were defined as symptoms or illness which were associated with decreased academic performance. Logistic regression was performed to calculate odds ratios (ORs) and 95% confidence intervals (CIs) of each physical symptom or illness with adjustment for covariables.

Results

A total of 2,201 participants were included in the study. The main physical symptoms or illness among participants were severe fatigue (64.2%), muscle or joint pain (46.3%), gastrointestinal problems (43.1%), headache or dizziness (38.6%), frequent colds (35.1%), and sleep problems (33.3%). Low physical activity levels were significantly associated with high ORs of physical symptoms or illness. Multivariable-adjusted ORs (95% CIs) in the lowest vs. highest tertile of physical activity were 1.45 (1.14–1.83) for severe fatigue, 1.35 (1.07–1.70) for frequent colds, and 1.29 (1.02–1.63) for headaches or dizziness. We also found that lower levels of physical activity were associated with more physical symptoms or bouts of illness.

Conclusion

Low physical activity levels were significantly associated with various physical symptoms or illness among university students. Also, individuals in the lower levels of physical activity were more likely to experience more physical symptoms or bouts of illness than those in the highest tertile of physical activity.

Citations

Citations to this article as recorded by  
  • A Comparative Study of Dietary Habits and Health Behaviors According to Obesity Pattern Identification in Korean Adults
    Suyeon Kim, Junyeon Kim, Hyunjung Lim
    Journal of Korean Medicine for Obesity Research.2025; 25(2): 55.     CrossRef
  • Prevalence and Associated Factors of Depression among Adults Suffering from Migraine in Spain
    Jesús Cebrino, Silvia Portero de la Cruz
    Brain Sciences.2023; 13(12): 1630.     CrossRef
  • Food Choice Motives, Physical Activity Level and Body Mass Index Status Among Undergraduates Students: A Cross-sectional Study
    Sharina Barkiah Muhamad Azhar, Divya Vanoh, Keerthana Sree Ganggaya
    Malaysian Journal of Medicine and Health Sciences.2023; 19(6): 151.     CrossRef
  • Effects of a Lifestyle Intervention on Health-Promoting Behavior, Psychological Distress and Reproductive Health of Overweight and Obese Female College Students
    Ju-Hee Nho, Soo-Wan Chae
    Healthcare.2021; 9(3): 309.     CrossRef
  • Eating Speed, Physical Activity, and Cardiorespiratory Fitness Are Independent Predictors of Metabolic Syndrome in Korean University Students
    Minjeong Kang, Mingyu Joo, Haeryun Hong, Hyunsik Kang
    Nutrients.2021; 13(7): 2420.     CrossRef
  • Pain Prevalence, Management and Interference Among University Students in South Korea: An Exploratory Cross-Sectional Study
    Hee Jun Kim, Sunjoo Boo, Timothy J Meeker
    Journal of Pain Research.2021; Volume 14: 2423.     CrossRef
  • Physical Activity and Physical Fitness among University Students—A Systematic Review
    Vidran Kljajević, Mima Stanković, Dušan Đorđević, Drena Trkulja-Petković, Rade Jovanović, Kristian Plazibat, Mario Oršolić, Mijo Čurić, Goran Sporiš
    International Journal of Environmental Research and Public Health.2021; 19(1): 158.     CrossRef
  • Objectively Measured Physical Activity in Migraine as a Function of Headache Activity
    Daniel G. Rogers, Dale S. Bond, John P. Bentley, Todd A. Smitherman
    Headache: The Journal of Head and Face Pain.2020; 60(9): 1930.     CrossRef
  • Stress, Emotional Intelligence and the Intention to Use Cannabis in Spanish Adolescents: Influence of COVID-19 Confinement
    Cristina Liébana-Presa, María Cristina Martínez-Fernández, José Alberto Benítez-Andrades, Elena Fernández-Martínez, Pilar Marqués-Sánchez, Isaías García-Rodríguez
    Frontiers in Psychology.2020;[Epub]     CrossRef
  • Analysis of Motivational Climate, Emotional Intelligence, and Healthy Habits in Physical Education Teachers of the Future Using Structural Equations
    Gabriel González-Valero, Félix Zurita-Ortega, Ramón Chacón-Cuberos, Pilar Puertas-Molero
    Sustainability.2019; 11(13): 3740.     CrossRef
  • Gender Differences and Relationships among Lifestyle and Reproductive Health in University Students
    Ju-Hee Nho, Hee Sun Kim
    Korean Journal of Women Health Nursing.2019; 25(4): 446.     CrossRef
  • Physical Activity-Related Injury and Its Associated Factors among Middle School Students in Southern China
    Weicong Cai, Yang Gao, Wenda Yang, Fuyuan Cheng, Dongchun Tang, Liping Li
    International Journal of Environmental Research and Public Health.2018; 15(6): 1244.     CrossRef
  • Country and Gender-Specific Achievement of Healthy Nutrition and Physical Activity Guidelines: Latent Class Analysis of 6266 University Students in Egypt, Libya, and Palestine
    Walid El Ansari, Gabriele Berg-Beckhoff
    Nutrients.2017; 9(7): 738.     CrossRef
  • 7,943 View
  • 57 Download
  • 12 Web of Science
  • 13 Crossref
The Effect of Exercise on Prevention of the Common Cold: A Meta-Analysis of Randomized Controlled Trial Studies
Hyun Kun Lee, In Hong Hwang, Soo Young Kim, Se Young Pyo
Korean J Fam Med 2014;35(3):119-126.   Published online May 22, 2014
DOI: https://doi.org/10.4082/kjfm.2014.35.3.119
Background

Because there is no specific treatment for the common cold, many previous studies have focused on prevention of the common cold. There were some studies reporting that regular, moderate-intensity exercise increases immunity and prevents the common cold. We conducted a meta-analysis to determine the effects of exercise on prevention of the common cold.

Methods

We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL for studies released through June 2013. We manually searched the references. Two authors independently extracted the data. To assess the risk of bias of included literature, Cochrane Collaboration's tool for assessing risk of bias was used. Review Manager ver. 5.2 (RevMan, Cochrane Collaboration) was used for statistical analysis.

Results

Four randomized controlled trials were identified. A total of 281 participants, 134 in the exercise group and 147 in the control group, were included. The effect of exercise on the prevention of the common cold had a relative risk (RR) of 0.73 (95% confidence interval [CI], 0.56 to 0.95; I2 = 7%). The mean difference of mean illness days between exercise group and control group was -3.50 (95% CI, -6.06 to -0.94; I2 = 93%). In the subgroup analysis, the RR of under 16 weeks exercise was 0.79 (95% CI, 0.58 to 1.08).

Conclusion

In this meta-analysis, regular, moderate-intensity exercise may have an effect on the prevention of the common cold. But numbers of included studies and participants were too small and quality of included studies was relatively poor. Subsequent well-designed studies with larger sample size are needed to clarify the association.

Citations

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  • Life's Essential 8 and Risk of Severe COVID‐19 Among Adults Without Clinical Cardiovascular Disease: The C4R Study
    Timothy B. Plante, Yifei Sun, Pallavi P. Balte, Donald Lloyd‐Jones, Hongyan Ning, Norrina Allen, Morgana Mongraw‐Chaffin, Kelley Pettee Gabriel, Vanessa Xanthakis, Arnita F. Norwood, Sara Gonzalez, Daniela Sotres‐Alvarez, Gregory A. Talavera, Martha L. Da
    Journal of the American Heart Association.2026;[Epub]     CrossRef
  • An optimal risk score for early plasma leakage prediction in adult dengue patients: A multicenter study
    Thang Van Dao, Binh Nhu Do, Minh Duc Pham, Tung Huu Ha, Hoang Cong Nguyen, Vinh Hai Vu, Hoa Thi Le, Phuoc Ba Nguyen, Thu Thi Hoang, Duc Minh Cap, Kien Trung Nguyen, Tuyen Van Duong
    Acta Tropica.2026; 278: 108110.     CrossRef
  • Akute Rhinosinusitis des erwachsenen Patienten
    Bernhard Olzowy
    HNO.2025; 73(7): 516.     CrossRef
  • The health costs associated with “looking forward to success”: Educational expectations and children's health
    Yiwei Liu, Yuting Su, Keshan Liu, Zhiyan Jin
    Infant and Child Development.2024;[Epub]     CrossRef
  • What is the effect of exercise on the occurrence, severity, and duration of acute respiratory infections in the general population?
    Matthew Haney, Shawn Cherian
    Evidence-Based Practice.2022; 25(2): 43.     CrossRef
  • Effects of Regular Physical Activity on the Immune System, Vaccination and Risk of Community-Acquired Infectious Disease in the General Population: Systematic Review and Meta-Analysis
    Sebastien F. M. Chastin, Ukachukwu Abaraogu, Jan G. Bourgois, Philippa M. Dall, Jennifer Darnborough, Elaine Duncan, Jasmien Dumortier, David Jiménez Pavón, Joanna McParland, Nicola J. Roberts, Mark Hamer
    Sports Medicine.2021; 51(8): 1673.     CrossRef
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    Zohaib Siddiqui, Mauzammal Tahiri, Ahaan Gupta, Ronald Hang Kin Nam, Anastasia Rachmanidou
    International Journal of Pediatric Otorhinolaryngology.2021; 147: 110786.     CrossRef
  • Moving Together While Staying Apart: Practical Recommendations for 24-Hour Home-Based Movement Behaviours for Those With Cardiovascular Disease
    Carley D. O’Neill, Sol Vidal-Almela, Tasuku Terada, Kimberley L. Way, Kentaro Kamiya, Billy Sperlich, Peter Duking, Jean-Phillipe Chaput, Stephanie A. Prince, Andrew L. Pipe, Jennifer L. Reed
    CJC Open.2021; 3(12): 1495.     CrossRef
  • Exercise versus no exercise for the occurrence, severity, and duration of acute respiratory infections
    Antonio Jose Grande, Justin Keogh, Valter Silva, Anna M Scott
    Cochrane Database of Systematic Reviews.2020;[Epub]     CrossRef
  • Common Cold and Acute Rhinosinusitis: Up-to-Date Management in 2020
    Francesca Jaume, Meritxell Valls-Mateus, Joaquim Mullol
    Current Allergy and Asthma Reports.2020;[Epub]     CrossRef
  • Behavioral strategies to prevent and mitigate COVID-19 infection
    Noah T. Hutchinson, Andrew Steelman, Jeffrey A. Woods
    Sports Medicine and Health Science.2020; 2(3): 115.     CrossRef
  • Combinatory therapeutic approaches for common cold and SARS-CoV-2
    Sankarappan Anbalagan, Vimalanathan Arunprasanna, Sundaram Dinakaran, Muthukalingan Krishnan
    Synergy.2020; 11: 100069.     CrossRef
  • Potential common factors associated with predisposition to common cold in middle-aged and elderly Japanese
    Michi Shibata, Taizo Iwane, Ryoko Higuchi, Kaname Suwa, Kei Nakajima
    Medicine.2018; 97(20): e10729.     CrossRef
  • Is the exercise effective for the prevention of upper respiratory tract infections?
    Matías Rocco, Gonzalo Bravo-Soto, Angela Ortigoza
    Medwave.2018; 18(04): e7225.     CrossRef
  • The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial
    Geert A. Buijze, Inger N. Sierevelt, Bas C. J. M. van der Heijden, Marcel G. Dijkgraaf, Monique H. W. Frings-Dresen, Jacobus van Wouwe
    PLOS ONE.2016; 11(9): e0161749.     CrossRef
  • Hygiene Behaviors Associated with Influenza-Like Illness among Adults in Beijing, China: A Large, Population-Based Survey
    Shuangsheng Wu, Chunna Ma, Zuyao Yang, Peng Yang, Yanhui Chu, Haiyan Zhang, Hongjun Li, Weiyu Hua, Yaqing Tang, Chao Li, Quanyi Wang, Hiroshi Nishiura
    PLOS ONE.2016; 11(2): e0148448.     CrossRef
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    Seung-Jun Choi, Song-young Park, Yi-Sub Kwak
    Journal of Life Science.2015; 25(11): 1324.     CrossRef
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    Antonio Jose Grande, Justin Keogh, Tammy C Hoffmann, Elaine M Beller, Chris B Del Mar
    Cochrane Database of Systematic Reviews.2015;[Epub]     CrossRef
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    Soo Young Kim
    Journal of the Korean Medical Association.2015; 58(2): 147.     CrossRef
  • Does Exercise Prevent the Common Cold?
    Harri Hemilä
    Korean Journal of Family Medicine.2014; 35(5): 259.     CrossRef
  • 12,007 View
  • 80 Download
  • 18 Web of Science
  • 20 Crossref
Background

Non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen are widely used for common cold symptom relief. The objective of this study was to evaluate and compare the efficacy and safety of acetaminophen and NSAIDs in common cold symptom relief using meta-analysis of randomized controlled trial.

Methods

We searched MEDLINE (PubMed), Cochrane, EMBASE, CINAHL, KMbase, KoreaMed, National Assembly Library, and Riss4u for studies released through June 2012. Two authors independently extracted the data. To assess the risk of bias, the Cochrane Collaborations risk of bias tool was used. The Review Manager ver. 5.1 (RevMan) was used for statistics.

Results

We identified 5 studies. The relative benefit for participants with pain relief was 1.00 (95% confidence interval [CI], 0.96 to 1.05) and I2 = 0%. The existence of the heterogeneity between studies was not important in this study, thus subgroup analysis was not implemented. The relative benefit for participants with rhinorrhea was 1.02 (95% CI, 0.77 to 1.35) and I2 = 0%, which also indicates the existence of heterogeneity was not important. The relative risk of adverse events was 1.14 (95% CI, 0.93 to 1.40), I2 = 0%. There was no apparent asymmetry in the funnel plot.

Conclusion

There was no difference between NSAIDs and acetaminophen in common cold symptom relief.

Citations

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  • Impact of Applying Camphor, Menthol, and Eucalyptus Oil to Facemasks Worn During Sleep on Common Cold Symptoms
    Ahmed Alhussien, Fadi Aljamaan, Nasser M. AbuDujain, Salem AlAmmari, Eman Alhammad, Mohamed Farahat, Tamer A. Mesallam, Khalid H. Malki
    Saudi Journal of Otorhinolaryngology Head and Neck Surgery.2025; 27(2): 80.     CrossRef
  • Preclinical comparison of antinociceptive effects between ibuprofen, diclofenac, naproxen, and acetaminophen on acid-stimulated body stretching and acid-depressed feeding behaviors in rats
    Ahmad A. Altarifi, Bassel A. Younis, Khawla Q. Nuseir, Arwa A. Al-Mousa, Ahmad K. Qaoud, Mohammad I. Alsalem, John K. Neubert
    Behavioural Pharmacology.2022; 33(8): 567.     CrossRef
  • Prescription Pattern for a Simulated Patient With the Common Cold at Pharmacies in a Region in Korea Without Separation of Dispensary From Medical Practice
    Hyeong-Cheol Lee, Woo-Joo Park, Mi-Kyeong Oh
    The Korean Journal of Health Service Management.2019; 13(3): 115.     CrossRef
  • Drug therapy for the common cold
    Soo Young Kim
    Journal of the Korean Medical Association.2015; 58(2): 147.     CrossRef
  • 12,343 View
  • 67 Download
  • 4 Crossref
The Effect of Probiotics on Prevention of Common Cold: A Meta-Analysis of Randomized Controlled Trial Studies
En-Jin Kang, Soo Young Kim, In-Hong Hwang, Yun-Jeong Ji
Korean J Fam Med 2013;34(1):2-10.   Published online January 28, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.1.2
Background

Probiotics are currently under focus for their immune improvement function. Many studies have been performed to assess the potential efficacy of probiotics in allergic disease, viral disease, respiratory disease, as well as gastrointestinal disease. This study performed a systematic review to determine the effects of probiotics on the prevention of the common cold.

Methods

We searched MEDLINE (PubMed), EMBASE, CINAHL, and Cochrane CENTRAL for studies released through June 2011. Two authors independently extracted the data. To assess the risk of bias of included literatures, Cochrane Collaboration's risk of bias tool was used.

Results

We identified 10 studies in 7 articles. A total 2,894 participants, 1,588 in the probiotics group and 1,306 in the control group, were included. The effect of probiotics on the prevention of the common cold had a relative risk (RR) of 0.92 (95% CI, 0.85 to 1.00, I2 = 26%). In the subgroup analysis, the RR of administration of probiotics for 3 months or less was 0.82 (95% CI, 0.70 to 0.97). The RR of administration of probiotics over 3 months was 1.00 (95% CI, 0.92 to 1.09). The RR of administration of probiotics without any active intervention (vitamin and mineral) was 0.87 (95% CI, 0.78 to 0.97).

Conclusion

In this meta-analysis, there was marginal effect of probiotics on the prevention of the common cold. The results implied that probiotics had a modest effect in common cold reduction. The balance of benefit and harms needs to be considered when using probiotics for common cold prevention.

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Patient's Perspective of Common Cold and Health Care Utilization.
Sa Ra Lee, Eal Whan Park, Yoo Seock Cheong, Eun Young Choi, Seon Je Lim, Hwa Jin Sung, Yong Jun Kim, Sang Ouk Ha
Korean J Fam Med 2009;30(6):440-448.   Published online June 20, 2009
DOI: https://doi.org/10.4082/kjfm.2009.30.6.440
Background
Common cold is the most frequently seen ambulatory disease in primary care clinic of Korea. This study investigated the perspectives and expected pattern of health care utilization of patients who visit a primary care clinic in order to understand patients' health care behavior for treating common cold and to consider how to educate them effectively. Methods: We surveyed 570 patients and their accompanying people who visited family medicine clinic and the health promotion center of a university hospital by questionnaire, in which we asked the patients what they think of the cause, symptom, and treatment of common cold and their pattern of health care utilization. Results: The respondents replied that the cause of common cold was a virus (446, 85.3%), a bacteria (58, 11.3%) or others (18, 3.4%). Among the total, 475 respondents (88.6%) replied that they had taken cold medicine before and 264 respondents (55.7%) reported that the symptoms took 1-2 weeks to recover. A total of 285 respondents (58.3%) replied that they prefer red to go to the doctor and 198 (40.5%) replied that they prefer to go to a pharmacy. The respondents who thought that symptoms of common cold takes longer than one week tended to choose to visit a doctor. Patients thought that antibiotics (54.4%) and those that relieved common cold symptoms earlier (30.1%) were 'strong' cold medicine.Conclusion: The results of this survey showed that the difference in patients' perspectives made an effect on the patients' treatment seeking behavior. Even though medicine did not take effect to relieve symptoms, most patients wanted to continue to visit physicians. The family physician should not give only the prescription, but also make an effort to provide pertinent information to patients and educate them to acquire appropriate perspectives.

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Note

Incidence of Influenza-like Illness after Influenza Vaccination in the Elderly.
Sang Yeoup Lee, Won Hee Choi, Sang Han Choi, Yun Jin Kim, Byeung Man Cho
J Korean Acad Fam Med 2002;23(5):652-656.   Published online May 31, 2002
  • 1,887 View
  • 29 Download
Original Articles
Comparison of prescription behaviors between practicing physicians and pharmacists by simulated patients with common cold.
Hong Jun Cho, Suk Kyun Woo, Chun Taik Hong, Eung Kyung Suh
J Korean Acad Fam Med 2001;22(9):1394-1399.   Published online September 1, 2001
Background
: Pharmacists could dispense medicines without doctors' prescription in Korea before July 2000. The aim of this study was to compare the prescription behaviors of practicing doctors and pharmacists to common cold by the simulated patients. We selected the common cold as a subject of simulation because it was the most frequent health problem to visit doctors and pharmacists and the abuse of antibiotics might be prevalent in management of it.

Methods : Seventy five private clinics and drug stores were selected in Seoul, Korea. The simulated patients were selected and trained standardized symptoms of common cold. The simulated patients recorded the prescription behaviors of doctors and pharmacists.

Results : Average number of prescribed medicines were 5.0 and 5.6 in clinic and drug store respectively. 54.7% of the clinics and 61.3% of the drug stores prescribed antibiotics respectively with no significant difference between them. The most frequently prescribed antibiotics were penicillines. About 7% of the doctors and 11% of the pharmacist prescribed glucocorticoid to simulated patients respectively. About 20% of the pharmacists performed some kinds of physical examination to the simulated patients. Both doctors and pharmacist gave little ingormation or advice on use of medicines, possible side effects and past side effects of medicines.

Conclusion : There were frequent abuse of antibiotics and occasional use of glucocorticoid in private clinics and drug stores. Both doctors and pharmacists did not give enough information on use of medicines to the simulated patients.
  • 1,725 View
  • 12 Download
Antibiotics prescription pattern of family practitioners for respiratory tract infections.
Kwang Soo Eo, Jai Jun Byeon, Ho Cheol Shin, Cheol Hwan Kim, Jae Ho Lee, Youn Seon Choi, Yong Kyun Roh
J Korean Acad Fam Med 2000;21(7):901-913.   Published online July 1, 2000
Background
:  Antibiotics are often indiscriminately prescribed for respiratory tract infections. This study was conducted to describe the prescription pattern of family physicians for respiratory tract infections.

Methods : In each clinic of 50 representative family practitioners, about 20 consecutive patients with diagnosis of respiratory tract infection were enrolled into the study. The data were collected by questionnaire to physicians just after patient interview.

Results : The number of study subjects was 1020, of which 55.7% was less than 15 year old. Antibiotics were prescribed to 73.9% of total subjects. According to diagnosis, the antibiotic prescription rate was 51.5% in common cold, 86.0% in pharyngitis, 88.6% in bronchitis, 98.9% in sinusitis, and 100% in otitis media. In common cold, the factors which significantly increased the antibiotic prescription were 1)patient age less than 15 year old (OR=1.70, CI= 1.06-2.73), 2)more than two visits during the same episode(OR=1.95, CI=1.27-2.99), 3)yellow and thick rhinorrhea(OR=2.22, CI=1.16-4.25), 4)yellow and thick sputum(OR=3.31, CI=1.34-8.19), and 5)throat injection(OR=2.50, CI=1.42-4.39). Among patients to whom antibiotics were prescribed, 48.7% of patients were given the antibiotics by intramuscular injection. The most frequently prescribed antibiotics were penicillin and macroride among per-oral medicine and ribostamycin and lincomycin among intramuscular medicine. The reason for antibiotic prescription were 1)possibility of bacterial infection(43.4%), 2)prevention of bacterial complication(23.7%), and 3)definite evidence of bacterial infection(22.5%).

Conclusion : Family practitioners prescribe antibiotics indiscriminately for the respiratory tract infection. The prescription was influenced by patient's age, number of clinic-visit, and clinical symptoms and signs.
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The effects of influenza vaccination.
Chul Soo Jun, Byung Sung Kim, Gun Soon Kim, Jong Jin Lee, Jang Ho Park, Sung Soo Joo, Hong Seo, Hoon Ki Park, Byung Uk Doh
J Korean Acad Fam Med 1999;20(7):925-932.   Published online July 1, 1999
Background
: Influenza is a respiratory infectious disease with high morbidity and relatively high mortality which occurs every winter. Therefore, influenza vaccination is recommended annually for high risk groups. However, the vaccination rate is not very high. It is well known that influenza vaccination prevents influenza, and some reports show partial preventive effects for the common cold. Therefore, the authors implemented this study to find out the preventive effects of influenza vaccination for influenza and the common cold.

Methods : The study period was six months form October 1997 to March 1998, and the subjects were chosen from those who visited seven Family Practice Clinics and two Family Practice Outpatient Departments of University Hospital. The vaccination group composed of those who received influenza vaccination during the period and the control group was those who did not receive the vaccination with age difference ±3 years and of same gender.
The study was done by a survey questionnaire. The data were analyzed using SPSS version 8.0 and chi-square test, t-test, and logistic regression was implemented.

Results : The number of vaccination group was 223, the number of control group was 214, and the total subjects were 437 persons. Influenza occurred in 4 persons(1.8%) for the vaccination group, and 12 persons(5.6%) for the control group which showed significant difference(p=0.032). The common cold occurred in 69.1% of vaccination group and in 71.0% of control group with no difference. However, the duration of the common cold was 6.0 days for the vaccination group which was slightly shorter than 7.5 days for the control group(p=0.088), and the frequency of the common cold was 1.49 times for the vaccination group and 1.84 times for the control group(p=0.033). Logistic regression analysis showed that the relative risk of influenza for the vaccination group was 0.261(p=0.032), which meant 73.9% protective effect for influenza, but not for the common cold.

Conclusion : Influenza vaccination can protect people from influenza, but did not protect them from common cold. However, it can lessen the frequency and duration of the common cold.
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