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Evaluacion de la variabilidad e idoneidad en la prescripcion de antimicrobianos en atencion primaria en la Comunidad Autonoma del Pais Vasco. Recomendaciones de uso apropiado. [Appraisal of the variability and suitability of prescribing antimicrobials in primary health care in the Basque Country] |
Rotaeche R, Vicente D, Etxeberria A, Mozo C, Larranaga M, Valverde E, Lopez L, Olasagasti C, Barandiaran M, Iturrioz P |
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Citation Rotaeche R, Vicente D, Etxeberria A, Mozo C, Larranaga M, Valverde E, Lopez L, Olasagasti C, Barandiaran M, Iturrioz P. Evaluacion de la variabilidad e idoneidad en la prescripcion de antimicrobianos en atencion primaria en la Comunidad Autonoma del Pais Vasco. Recomendaciones de uso apropiado.. [Appraisal of the variability and suitability of prescribing antimicrobials in primary health care in the Basque Country] Vitoria-Gasteiz: Basque Office for Health Technology Assessment (OSTEBA). D-00-09. 1999 Authors' conclusions The incidence of infectious pathology shows a decrease over recent years which has not had an influence on the consumption of antibiotics, which was stable during the period under study. Nevertheless, the utilisation profile has changed radically. Traditional antibiotics have been replaced by new, wide-spectrum, more costly antibiotics (macrolides, excluding erythromycins, cephalosporins of 2nd and 3rd generation and quinolones). The levels of resistance of the main micro-organisms involved in the most prevalent infections in primary health care, are very high. This seems to confirm the relationship between resistance and the consumption of antibiotics.The use of antibiotics in mostly viral infectious aetiology processes (colds in the high respiratory tracts, influenza and acute bronchitis) is high. This represents 40% of all antibiotic prescriptions leading to an unnecessary expenditure of over 1,000 million pesetas in the Basque Country.In those processes in whih ATB treatment is indicated (tonsillitis, otitis, urinary infection, sinusitis, pneumonia, dental infection) when the choice of ATB is inadequate this is at the expense of wise spectrum antibiotics (new macrolides, cephalosporins and amoxicillin-clavulanic acid).
Factors relating to health care professionals such as attitudes and training have more importance in non adequate prescription than the clinical characteristics of patients.It is necessary to delve further into the prescription/consumption process of ATBs, to explore new aspects not tackled in this survey, such as the attitudes of professionals, the doctor-patient interrelationship, self-medication and the role of pharmacies. This survey provides keys on which to take action in order to attain a more rational prescription. These include multi-disciplinary collaboration between everyone involved in prescribing ATBs and efficient CMT. It is necessary to take a new look at the current strategies in continuous training in antimicrobial therapy. Indexing Status Subject indexing assigned by CRD MeSH Anti-Bacterial Agents /administration & Bacterial Infections /drug therapy /prevention & Drug Resistance, Multiple, Bacterials; Primary Health Care; control; dosage /economics /therapeutic use Language Published Spanish Country of organisation Spain English summary An English language summary is available. English Summary English summary available Address for correspondence Rosa Rico, Calle Duque de Wellington 2, 01010 Vitoria-Gasteiz, Spain. Tel: +34 9 45 01 9250; Fax: +34 9 45 01 9192
Email: rosarico-osteba@ej-gv.es AccessionNumber 31999009161 Date bibliographic record published 03/06/1999 Date abstract record published 03/06/1999 |
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