Suitability of antibiotic prescription in primary care in the Basque Autonomous Community
OBJECTIVE: To study the variability and suitability of antibiotic prescription in primary care in the Basque Country.
DESIGN: Prospective, descriptive study.
SETTING: Basque Country health care centres both within and not in the reformed network.
MEASUREMENTS AND MAIN RESULTS: 3182 infections from consultations for infectious disease were studied through sampling stratified by health area during February, March and April 1998. The appropriateness of antibiotics (ATB) prescription was compared with some standards after an extensive bibliographic review. 68.6% of consultations were infections not needing ATB (infections of respiratory airways, acute bronchitis, flu and gastro-enteritis). ATB were used in 28.5% of these cases (CI: 26.6-30.5), especially in acute bronchitis (90.7%) (CI: 87.3-93.4). Unnecessary prescription supposes 39.7% of total antibiotic prescription (CI: 37.2-42.1%), which means unnecessary annual expenditure of 1155 million pesetas. In 31.4% of the infections that require ATB treatment, in 23.7% inappropriate treatment was chosen (CI: 21-26.7%). Overall appropriateness of treatment was 72.2% (CI: 70.6-73.8). Working in the reformed system was linked to better prescription in all cases. Paediatricians prescribed better in the case of infections not susceptible to ATB treatment.
CONCLUSIONS: ATB prescription is not consistent with the available scientific evidence. Incorrect treatments occur especially in benign and self-limiting processes. A local policy of ATB use that includes multi-disciplinary collaboration and effective ongoing training is necessary.
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2001 |
|---|---|
| Erschienen: |
2001 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
|---|---|
| Enthalten in: |
Atencion primaria - 27(2001), 9 vom: 31. Mai, Seite 642-8 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Idoneidad de la prescripción antibiótica en atención primaria en la Comunidad Autónoma Vasca |
|---|
| Beteiligte Personen: |
Rotaeche del Campo, R [VerfasserIn] |
|---|
| Themen: |
Anti-Bacterial Agents |
|---|
| Anmerkungen: |
Date Completed 28.12.2001 Date Revised 30.03.2024 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM113166095 |
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| 245 | 1 | 0 | |a Suitability of antibiotic prescription in primary care in the Basque Autonomous Community |
| 246 | 3 | 3 | |a Idoneidad de la prescripción antibiótica en atención primaria en la Comunidad Autónoma Vasca |
| 264 | 1 | |c 2001 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 28.12.2001 | ||
| 500 | |a Date Revised 30.03.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To study the variability and suitability of antibiotic prescription in primary care in the Basque Country | ||
| 520 | |a DESIGN: Prospective, descriptive study | ||
| 520 | |a SETTING: Basque Country health care centres both within and not in the reformed network | ||
| 520 | |a MEASUREMENTS AND MAIN RESULTS: 3182 infections from consultations for infectious disease were studied through sampling stratified by health area during February, March and April 1998. The appropriateness of antibiotics (ATB) prescription was compared with some standards after an extensive bibliographic review. 68.6% of consultations were infections not needing ATB (infections of respiratory airways, acute bronchitis, flu and gastro-enteritis). ATB were used in 28.5% of these cases (CI: 26.6-30.5), especially in acute bronchitis (90.7%) (CI: 87.3-93.4). Unnecessary prescription supposes 39.7% of total antibiotic prescription (CI: 37.2-42.1%), which means unnecessary annual expenditure of 1155 million pesetas. In 31.4% of the infections that require ATB treatment, in 23.7% inappropriate treatment was chosen (CI: 21-26.7%). Overall appropriateness of treatment was 72.2% (CI: 70.6-73.8). Working in the reformed system was linked to better prescription in all cases. Paediatricians prescribed better in the case of infections not susceptible to ATB treatment | ||
| 520 | |a CONCLUSIONS: ATB prescription is not consistent with the available scientific evidence. Incorrect treatments occur especially in benign and self-limiting processes. A local policy of ATB use that includes multi-disciplinary collaboration and effective ongoing training is necessary | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 7 | |a Anti-Bacterial Agents |2 NLM | |
| 700 | 1 | |a Vicente Anza, D |e verfasserin |4 aut | |
| 700 | 1 | |a Mozo Avellaned, C |e verfasserin |4 aut | |
| 700 | 1 | |a Etxeberria Agirre, A |e verfasserin |4 aut | |
| 700 | 1 | |a López Navares, L |e verfasserin |4 aut | |
| 700 | 1 | |a Olasagasti Caballero, C |e verfasserin |4 aut | |
| 700 | 1 | |a Barandiaran Forcada, M |e verfasserin |4 aut | |
| 700 | 1 | |a Iturrioz Rosell, P |e verfasserin |4 aut | |
| 700 | 1 | |a Larrañaga Padilla, M |e verfasserin |4 aut | |
| 700 | 1 | |a Valverde Bilbao, E |e verfasserin |4 aut | |
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