Antibiotic prescription in primary health care: clinical and economic perspectives (Catalonia, Spain).

Abstract:

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.

journal_name

Eur J Public Health

authors

Caminal J,Rovira J

doi

10.1093/eurpub/cki080

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

276-81

issue

3

eissn

1101-1262

issn

1464-360X

pii

cki080

journal_volume

15

pub_type

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