The prescription of antimicrobials by general practitioners: the differences between north and south Italian provinces

Bonaldo, Giulia; Bianchi, Stefano; Ancona, Domenica; Procacci, Cataldo; Natalini, Nicoletta; Motola, Domenico; Vaccheri, Alberto

doi:10.1080/14787210.2020.1713753

Cited by 1 publication

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since the PNCAR came into force, two dedicated annual national reports on antibiotic use in humans have been published by the Medicines Utilisation Monitoring Centre (Osservatorio Nazionale sull'impiego dei Medicinali, OsMed) of the Italian Medicines Agency (Agenzia Italiana del Farmaco, AIFA), 15,16 and a previous one was published in 2009 17 . Other studies were recently published on antibiotic use in Italy but they reported data only for some Italian regions, 18,19 with scant or incomplete information on regional variability. The aim of this article is to describe the pattern of antibiotic consumption in the community setting in Italy, at both national and regional level, from 2013 to 2018, including some indicators on appropriateness of use.…”

Section: Introductionmentioning

confidence: 99%

Monitoring the community use of antibiotics in Italy within the National Action Plan on antimicrobial resistance

Cangini

Fortinguerra

Filippo

et al. 2020

Brit J Clinical Pharma

View full text Add to dashboard Cite

Background In Italy both the consumption of antibiotics and the prevalence of bacterial resistance are higher than in other European countries. In 2017, the first National Action Plan on Antimicrobial Resistance (PNCAR) was adopted in Italy. In response to the PNCAR two national reports on antibiotic use in the human setting have been published. This article's aim is to describe the pattern of antibiotic consumption in the community setting in Italy from 2013 to 2018. Methods To analyse the consumption for reimbursed antibiotics dispensed by community pharmacies different data sources were used. Consumption was measured in terms of defined daily dose (DDD), prescriptions or prevalence of use. Results In 2018, the consumption of antibiotics in Italy amounted to 16.1 DDD per 1000 inhabitants per day. The rates of consumption by geographical area were: 12.7 DDD in the north, 16.9 in the centre and 20.4 in the south. The use was greater in the extreme age groups than in the population aged from 20 to 64 years. The consumption was higher in winter season, with high peaks in the incidence of flu syndromes. In the paediatric population, a utilization rate of 1010 prescriptions per 1000 children, with a prevalence of use of 40.8%, was found. Conclusion The study provides useful information on the geographical variability of antibiotic use in Italy to guide decision makers in the introduction of tailored interventions, as suggested by PNCAR, aimed at promoting a more rational use of antibiotics for humans and reducing antimicrobial resistance.

show abstract

Section: Introductionmentioning

confidence: 99%