European journal of public health · 2005
Antibiotic prescription in primary health care: clinical and economic perspectives (Catalonia, Spain).
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Caminal Josefina, Rovira Joan
Аннотация
OBJECTIVE: To quantify clinical inappropriateness of antibiotic prescription and its costs in primary health care.
METHODS: 2470 cases of infectious disease during 1998 were analysed.
RESULTS: Of all cases, 69.9% did not require antibiotic treatment. Global clinical inappropriateness amounted to 43.7%, rising to 56.7% with the introduction of economic criteria. Treatment unnecessary but antibiotic provided (27.9%) represented the most important category. Costs of inappropriateness reached 68.4% of the estimated total cost.
CONCLUSION: Appropriate antibiotic use should be focused on reducing antibiotic prescription when not indicated and restraining the use of penicillins maintaining restrictive and adequate health policies, and also achieving co-responsibility from the general population.
METHODS: 2470 cases of infectious disease during 1998 were analysed.
RESULTS: Of all cases, 69.9% did not require antibiotic treatment. Global clinical inappropriateness amounted to 43.7%, rising to 56.7% with the introduction of economic criteria. Treatment unnecessary but antibiotic provided (27.9%) represented the most important category. Costs of inappropriateness reached 68.4% of the estimated total cost.
CONCLUSION: Appropriate antibiotic use should be focused on reducing antibiotic prescription when not indicated and restraining the use of penicillins maintaining restrictive and adequate health policies, and also achieving co-responsibility from the general population.