The prescription of antimicrobials by general practitioners: the differences between north and south Italian provinces
Autor: | Giulia Bonaldo, Cataldo Procacci, Stefano Bianchi, Alberto Vaccheri, Nicoletta Natalini, Domenico Motola, Domenica Ancona |
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Přispěvatelé: | Bonaldo G., Bianchi S., Ancona D., Procacci C., Natalini N., Motola D., Vaccheri A. |
Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
Microbiology (medical) Adult Male Adolescent medicine.drug_class 030106 microbiology Antibiotics Psychological intervention utilization Microbiology 03 medical and health sciences Young Adult 0302 clinical medicine Antibiotic resistance General Practitioners Virology Environmental health Anti-Bacterial Agent Drug Resistance Bacterial Global health medicine Humans Antimicrobial stewardship 030212 general & internal medicine antimicrobial resistance Medical prescription Practice Patterns Physicians' Quality Indicators Health Care Consumption (economics) prescription General Practitioner Antibiotic Middle Aged Antimicrobial Anti-Bacterial Agents Health Expenditure antimicrobial stewardship Infectious Diseases Geography Italy Female Health Expenditures Human |
DOI: | 10.6084/m9.figshare.11601015 |
Popis: | Background: Antimicrobials resistance (AMR) is an increasingly serious global health problem, both in terms of clinical implications and economic expenditure. In Italy, there are differences in prescribing rates between regions. We aimed to compare these differences in two Italian provinces: one of Emilia Romagna (north region) and one of Puglia (south region). Methods: The number of antibiotics prescribed packages and the relative expenditure data (year 2015) were obtained. We applied the prescription quality indicators proposed by the European Surveillance of Antimicrobial Consumption for an in-depth analysis. Results: Both consumption and expenditure were higher in the south province. In the Apulian province also the use of parenteral antibiotics was more frequent. The most prescribed antibiotics in both the provinces were: penicillins (combined or not), macrolides, and fluoroquinolones. Conclusion: We observed variability between the north and south province in terms of antibiotics prescription. Overall, our study indicates that antibacterials could be overprescribed. The choice of the right antibiotic continues to be a demanding task for practitioners and much still needs to be done in the fight against AMR, starting from a more appropriate use and interventions aimed at raising awareness of antibiotic resistance. |
Databáze: | OpenAIRE |
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