Comparison of Outpatient Systemic Antibacterial Use in 2004 in the United States and 27 European Countries

Goossens, Herman; Ferech, Matus; Coenen, Samuel; Stephens, Peter

doi:10.1086/512810

Cited by 198 publications

(140 citation statements)

References 23 publications

(39 reference statements)

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“…The penicillin group is the most commonly used, accounting for 47% of the total use of antibiotics [4]. Malaysia (9.55 DDD/1,000 population/day) has lower antibiotic usage compared to Greece (31.4), France (28.97), the United States (24.92), Europe (19.04), and British Columbia (17.9), and is comparable to countries with relatively lower antibiotics consumption such as Austria (12.5), Latvia (11.7) and in the Netherlands (9.78) [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Public knowledge and attitudes towards antibiotic usage: a cross-sectional study among the general public in the state of Penang, Malaysia

Hassali

Al-Haddad

et al. 2010

J Infect Dev Ctries

138

103

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Introduction: Public knowledge and attitudes towards antibiotics play a vital role in the success of the treatment process. This study aimed to assess public knowledge and attitudes toward antibiotic usage which could serve as baseline data for future studies within a government hospital setting in Malaysia. Methodology: A self-administered cross-sectional survey involving 408 respondents was conducted using a validated questionnaire at an outpatient pharmacy department in Penang Hospital, Malaysia, from February to March 2009. Results: Nearly 55% of the respondents had a moderate level of knowledge. Three quarters of the respondents (76.7%) could correctly identify that antibiotics are indicated for the treatment of bacterial infections. However, 67.2% incorrectly thought that antibiotics are also used to treat viral infections. About 59.1% of the respondents were aware of antibiotic resistance phenomena in relation to overuse of antibiotics. With regard to attitudes, 38% believed that taking antibiotics when having cold symptoms could help them to recover faster, while 47.3% expected antibiotics to be prescribed for common cold symptoms. Age, race and educational level were among the demographic characteristics significantly associated with knowledge and attitudes toward antibiotic use. Poor level of knowledge was found in less than one-third of the respondents whereas more than one-third of the respondents wrongly self-medicate themselves with antibiotics once they have a cold. Conclusion: Educational interventions are needed to promote prudent use of antibiotics among the public.

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Section: Introductionmentioning

confidence: 99%

Public knowledge and attitudes towards antibiotic usage: a cross-sectional study among the general public in the state of Penang, Malaysia

Hassali

Al-Haddad

et al. 2010

J Infect Dev Ctries

138

103

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“…Thus, regional differences in circulating clones are evident. Use of antibiotics in Norway is limited by a restrictive prescription policy (6,12). Thus, selection by antibiotic pressure is likely of minor importance for serotype 19A replacement in our setting.…”

mentioning

confidence: 99%

Postvaccination Increase in Serotype 19A Pneumococcal Disease in Norway Is Driven by Expansion of Penicillin-Susceptible Strains of the ST199 Complex

Vestrheim

Steinbakk

Aaberge

et al. 2012

Clin. Vaccine Immunol.

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bSerotype replacement in invasive pneumococcal disease has been observed after widespread use of the 7-valent pneumococcal conjugate vaccine (PCV7). Replacement is dominated by penicillin-nonsusceptible serotype 19A in several countries. Antibiotic selection pressure has been proposed to interact with immunization, leading to rapid replacement. In Norway, where prescription of antibiotics is limited, post-PCV7 replacement by serotype 19A is dominated by penicillin-susceptible clones. Hence, serotype 19A replacement occurs, although it is not driven by antibiotic selection pressure.

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“…255,260,261 Overuse of antibiotics in primary care may lead to increasing resistance both on a local and national level. 255,262,263 PRIMARY CARE RESPIRATORY JOURNAL www.thepcrj.org However, failing to use antibiotics in cases where they are needed may lead to increased hospitalisation and mortality. 264 An efficient interface between primary and secondary care is important in the management of respiratory infections.…”

Section: Respiratory Infectionsmentioning

confidence: 99%

The International Primary Care Respiratory Group (IPCRG) Research Needs Statement 2010

Pinnock

Thomas

Tsiligianni

et al. 2010

Primary Care Respiratory Journal

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Comparison of Outpatient Systemic Antibacterial Use in 2004 in the United States and 27 European Countries

Cited by 198 publications

References 23 publications

Public knowledge and attitudes towards antibiotic usage: a cross-sectional study among the general public in the state of Penang, Malaysia

Public knowledge and attitudes towards antibiotic usage: a cross-sectional study among the general public in the state of Penang, Malaysia

Postvaccination Increase in Serotype 19A Pneumococcal Disease in Norway Is Driven by Expansion of Penicillin-Susceptible Strains of the ST199 Complex

The International Primary Care Respiratory Group (IPCRG) Research Needs Statement 2010

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