Health insurance and antibiotic prescription in pharyngitis: a cross-sectional study in Saudi Arabian primary healthcare centers - Report - MDSpire

Health insurance and antibiotic prescription in pharyngitis: a cross-sectional study in Saudi Arabian primary healthcare centers

  • By

  • Aouab Abdul Khafez

  • Amro Abdel-Azeem

  • Malak Alotaibi

  • Rehab Almubrick

  • Hala Tamim

  • Naif Alotaibi

  • Noara Alhusseini

  • June 5, 2026

  • 0 min

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Clinical Report: Antibiotic Prescribing Patterns for Pharyngitis in Saudi Arabia

Overview

This study reveals that antibiotics were prescribed in 84.7% of acute pharyngitis visits in Saudi Arabia, with significant associations found between prescribing patterns and patient age and health insurance type. The findings highlight the urgent need for improved antibiotic stewardship in primary care settings.

Background

Inappropriate antibiotic prescribing for conditions like acute pharyngitis contributes to the growing problem of antibiotic resistance, which poses a significant public health threat. Understanding the factors influencing prescribing patterns is crucial for developing effective interventions. This study focuses on the role of demographic characteristics and health insurance in antibiotic prescribing in Saudi Arabian primary care.

Data Highlights

MetricValue
Antibiotic prescription rate84.7%
Amoxicillin prescriptions62%
Azithromycin prescriptions37%
Increased likelihood of prescription (government insurance)28.6%

Key Findings

  • Antibiotics were prescribed in 84.7% of acute pharyngitis visits.
  • Amoxicillin and azithromycin accounted for 62% and 37% of prescriptions, respectively.
  • Children aged 0–7 years had higher odds of receiving antibiotics.
  • Patients with governmental insurance were 28.6% more likely to receive antibiotics compared to those with private insurance.
  • Gender did not significantly influence antibiotic prescribing patterns.

Clinical Implications

Healthcare providers should be aware of the high rates of antibiotic prescribing for acute pharyngitis and consider patient age and insurance status when making prescribing decisions. Strengthening antibiotic stewardship programs is essential to ensure adherence to clinical guidelines and reduce unnecessary antibiotic use.

Conclusion

The study underscores the need for targeted interventions to optimize antibiotic prescribing practices in primary care settings, particularly in relation to patient demographics and health insurance factors.

Related Resources & Content

  1. Drugs - Real World Outcomes, 2018 -- Inappropriate Medication Prescribing Among Older Inpatients at a University Hospital in Saudi Arabia
  2. Drugs - Real World Outcomes, 2016 -- Prescribing Trends Among General Practitioners in Primary Healthcare Facilities Under National Health Insurance in Gezira, Sudan
  3. Drugs - Real World Outcomes, 2020 -- Cross-Sectional Analysis of Community-Reported Adverse Drug Reactions in Saudi Arabia
  4. Open Forum Infectious Diseases, 2023 -- Evaluation of Physicians' Compliance with Asymptomatic Bacteriuria Management Guidelines in Jordan: A Cross-Sectional Analysis
  5. CDC -- Clinical Guidance for Group A Streptococcal Pharyngitis
  6. IDSA -- Clinical Practice Guideline Update on Group A Streptococcal (GAS) Pharyngitis
  7. NICE -- Recommendations | Sore throat (acute): antimicrobial prescribing
  8. WHO guideline, 2024 -- Rheumatic Fever
  9. Antibiotic Use and Stewardship in the United States, 2025 Update
  10. Impact of Point-of-Care Testing for Group A Streptococcal Pharyngitis
  11. Clinical Guidance for Group A Streptococcal Pharyngitis | Group A Strep | CDC
  12. IDSA Clinical Practice Guideline Update on Group A Streptococcal (GAS) Pharyngitis
  13. Recommendations | Sore throat (acute): antimicrobial prescribing | Guidance | NICE
  14. WHO guideline
  15. Implementation of molecular diagnostic testing for group A streptococcal pharyngitis: considerations and challenges with a focus on point-of-care environments - PubMed
  16. P13 Systematic review assessing the impact of using McIsaac and Centor scores to aid antibiotic prescription decision making in patients presenting to secondary care with pharyngitis - PMC
  17. A prospective cluster randomized trial of an interventions bundle to reduce inappropriate antibiotic use for upper respiratory tract infections in the outpatient setting - PMC
  18. Antibiotic Use in the United States | Antibiotic Prescribing and Use | CDC
  19. ESPAUR report 2024 to 2025 private prescribing update
  20. https://www.chi.gov.sa/Style%20Library/IDF_Branding/Indication/115%20-%20Pharyngitis%20%28Acute%20Sore%20Throat%29-Indication%20Update.pdf
  21. Frontiers | Understanding patient demand for and use of antibiotics for upper respiratory tract infection: A qualitative application of the Necessity-Concerns Framework in Saudi Arabia

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