Outpatient antibiotic use and prevalence of antibiotic-resistant pneumococci in France and Germany: a sociocultural perspective.
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TLDR
The prevalence of penicillin-nonsusceptible pneumococci is sharply divided between France and Germany, and the overarching importance of a sociocultural approach to preventing antibiotic resistance in the community is emphasized.Abstract:
The prevalence of penicillin-nonsusceptible pneumococci is sharply divided between France (43%) and Germany (7%). These differences may be explained on different levels: antibiotic- prescribing practices for respiratory tract infections; patient-demand factors and health-belief differences; social determinants, including differing child-care practices; and differences in regulatory practices. Understanding these determinants is crucial for the success of possible interventions. Finally, we emphasize the overarching importance of a sociocultural approach to preventing antibiotic resistance in the community.read more
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Cost-effectiveness of empirical prescribing of antimicrobials in community-acquired pneumonia in three countries in the presence of resistance.
TL;DR: Despite low acquisition costs for generic antibiotics, first-line treatment effective against the major CAP pathogens, including strains resistant to other antimicrobials, resulted in better clinical outcomes in all countries and lower treatment costs for all.
Dissertation
Influences on healthcare providers' and parents' behaviours with respect to the use of antibiotics for children: An exploratory study in urban China
TL;DR: Promoting more appropriate paediatric use of antibiotics in China will require better understanding of the provider-patient relationship and the wider cultural and healthcare contexts, especially in relation to the relative influence of TCM and Western medicine.
Journal ArticleDOI
Erratum to: Antibiotic use varies substantially among adults: a cross-national study from five European Countries in the ARITMO project
Anil Mor,Trine Frøslev,Reimar W. Thomsen,Alessandro Oteri,Peter R. Rijnbeek,Tania Schink,Edeltraut Garbe,Serena Pecchioli,Francesco Innocenti,Irene D. Bezemer,Elisabetta Poluzzi,Miriam C. J. M. Sturkenboom,Gianluca Trifirò,Mette Søgaard +13 more
TL;DR: In this article, the authors examined patterns of outpatient and community antibiotic use among adults in five European countries, including Denmark, the Netherlands, Italy, the UK, and Germany, and estimated overall, and age-group and sex specific antibiotic use as defined daily doses (DDD) per 1000 inhabitants per day.
Journal ArticleDOI
Accounting for variation in and overuse of antibiotics among humans
TL;DR: In this paper, the authors examine antibiotic overuse from the vantage point of both sides of the therapeutic relationship, examining patterns and expectations of practitioners and patients, institutional policies and pressures, the business strategies of pharmaceutical companies and distributors, and cultural drivers of variation.
Journal ArticleDOI
Economic Burden of Adult Pharyngitis: The Payer's Perspective
Alan R. Salkind,Julie M. Wright +1 more
TL;DR: Current practice imposed a substantial economic burden on the payer, while guideline adherence resulted in cost reductions, especially in terms of resistance, emphasizing that antibiotic prescribing habits have broad economic consequences.
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