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  1. Inappropriateness and variability of antibiotic prescription among French office-based physicians.

    Article - En anglais

    Objective 

    To describe oral antibiotic prescription in the community.

    Design 

    Audit of anti-infective prescribing in office-based medical practice.

    Setting 

    Center of France, in the Loiret, a 600,000 inhabitant administrative division.

    Main outcome measures 

    Clinical hypothesis and antimicrobial drugs used as well as daily doses and durations of treatment.

    Results 

    Respiratory tract infections with a presumed viral etiology accounted for 36% of prescriptions.

    In children, a high percentage of antibiotic prescriptions were underdosed as compared to clinical recommendations, particularly in acute otitis media.

    The variability of the daily dose was high, with coefficients of variation over 40% in acute otitis media or acute tracheobronchitis.

    Whatever the clinical hypothesis, the duration of treatment was close to 8 days.

    In acute otitis media, the coefficient of variation was 14%, the lowest for all diagnoses.

    Conclusion 

    Our investigation identified two main areas for improving antimicrobial drug prescribing : (1) reduction of useless prescriptions in respiratory tract infections with a presumed viral etiology, and (2) increasing the prescribed daily dose of antimicrobials to the recommended levels.

    Mots-clés Pascal : Prescription médicale, Antibiotique, Antibactérien, Epidémiologie, Médecin, Loiret, Région Centre, France, Europe, Indication, Recommandation, Médecine libérale

    Mots-clés Pascal anglais : Medical prescription, Antibiotic, Antibacterial agent, Epidemiology, Physician, Loiret, Centre Region, France, Europe, Indication, Recommendation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0394557

    Code Inist : 002B02S02. Création : 25/01/1999.