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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Women's health in relation with their family and work roles: France in the early 1990s.
TL;DR: The health of women aged 30 to 49 years is analyzed according to the family and work roles which they exercise, based on the 1991-1992 French national health survey, and two groups of women stand out as being clearly disadvantaged in comparison with that of married women with children and a job.
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Control of multiply resistant cocci: do international comparisons help?
Stephan Harbarth,Stephan Harbarth,Werner C. Albrich,Werner C. Albrich,Donald A. Goldmann,Donald A. Goldmann,Johannes Huebner,Johannes Huebner +7 more
TL;DR: It is suggested that a macro-level perspective on antibiotic resistance can broaden the understanding of this worldwide calamity, and help prevent further dissemination of multiply resistant microorganisms.
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The German experience in reference pricing.
TL;DR: The study investigates the economic effects of introducing reference prices in Germany in order to assess whether this system has been effective in containing public pharmaceutical expenditure and concludes that the reference price scheme is an effective tool for price control, but cost containment requires further measures.
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International comparison of health care systems using resource profiles
Anders Anell,Michael Willis +1 more
TL;DR: A simple framework for comparing data underlying health care systems is presented, which distinguishes measures of real resources, for example human resources, medicines and medical equipment, from measures of financial resources such as expenditures.
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Antibiotic Resistance in Spain: What Can Be Done?
TL;DR: This document analyzes the problem of the development of antibiotic resistance in community-acquired bacterial pathogens in Spain and provides general recommendations for limiting the emergence, evolution, and spread of resistant microorganisms.