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
Citations
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Antimicrobial drug use and resistance in Europe.
Nienke van de Sande-Bruinsma,Hajo Grundmann,Didier Verloo,E Tiemersma,J. Monen,Herman Goossens,Matus Ferech +6 more
TL;DR: Routine surveillance data indicate a relation between use and resistance and support interventions designed to reduce antimicrobial consumption at a national level in Europe.
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Antibiotic selection pressure and resistance in Streptococcus pneumoniae and Streptococcus pyogenes.
TL;DR: This study correlated outpatient antibiotic use with prevalence of penicillin-nonsusceptible Streptococcus pneumoniae, macrolide-resistant S. pneumoniae (MRSP), and macrolides- resistant S. pyogenes (MRGAS) in 20 countries to find out how antibiotic selection pressure on a national level affectsStreptococcal resistance.
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Ready for a world without antibiotics? The Pensieres Antibiotic Resistance Call to Action.
Jean Carlet,Vincent Jarlier,Stéphan Juergen Harbarth,Andreas Voss,Herman Goossens,Didier Pittet +5 more
TL;DR: Bundles of measures that must be implemented simultaneously and worldwide are presented in this document and include antibiotics, which represent a treasure for humanity, must be protected and considered as a special class of drugs.
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Antibiotic prescribing in hospitals: a social and behavioural scientific approach.
TL;DR: How the volume and appropriateness of antibiotic use in hospitals vary between countries, hospitals, and physicians is described.
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Antimicrobial resistance determinants and future control.
TL;DR: Determinants likely to influence the future epidemiology and health impact of antimicrobial-resistant infections are described and will ultimately optimize preventive strategies for an unpredictable future.
References
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Differences in drug treatment of chronic heart failure between European countries
TL;DR: Large differences in drug use and dosing for patients with advanced heart failure are observed between (European) countries, and none of these differences could be explained by differences in patient characteristics.