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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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.
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Jean Carlet,Vincent Jarlier,Stéphan Juergen Harbarth,Andreas Voss,Herman Goossens,Didier Pittet +5 more
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References
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Transcultural differences in illness behaviour and clinical outcome: an underestimated aspect of general practice?
TL;DR: The number of days of illness of patients with an episode of acute tonsillitis varied between the European countries, from 3 to 10 days, whereas disease-specific and patients' characteristics were not important predictors.
Journal Article
French National Institute for observation of prescriptions and consumption of medicines. Prescription and consumption of antibiotics in ambulatory care
TL;DR: A comparison between French practices and those of Germany and the United Kingdom suggests that recourse to treatment is more frequent in France for the infectious diseases mentioned above, with more intensive utilization of antibiotics, in particular broad-spectrum penicillins.
Journal Article
Pneumococcal antibiotic resistance
TL;DR: The explosion of resistance to penicillin in pneumococci is a ubiquitous phenomenon which must be fought against by (i) a strict utilization of antibiotics, (ii) the practice of microbiological sampling of infected foci before treatment, (iii) the systematic surveillance of resistance profiles ofneumococci against antibiotics and (iv) the adequate vaccination of populations at risk.
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Susceptibility pattern of Streptococcus pneumoniae in outpatients in Germany.
Journal Article
[Pneumococcus observatory data in the Rhône-Alps region. Results from 1996].
J. Thierry,J.D Perrier-Gros-Claude,Clavier B,Dumas M,G. Aubert,G Barbé,Bland S,Y Boucaud-Maitre,M Boyer,A Carricajo,M Chomarat,P Clergeau,F Delubac,D Fèvre,C Fuhrmann,Gravagnat B,H Lelièvre,M.N Letouzey,A Mandjee,Martelet P,R. Meley,Reverdy Me,A Ros,C Roure,A Tixier +24 more
TL;DR: During 1996, hospital-based laboratories in the Rhone-Alpes region of France collected pneumococcal strains and used a standardized protocol to record the following data; patient age and sex; type of specimen; and determination of susceptibility to at least the following antibiotics: oxacillin 1 microgram and 5 micrograms, erythromycin (Ery), tetracycline (Tet), chloramphenicol (Chl), rifampin (Rmp),