Josefina Caminal1, Joan Rovira. 1. Universitat Autònoma de Barcelona, Catalonia, Spain. josefina.caminal@uab.es
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.
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.
Authors: L Calle-Miguel; G Modroño Riaño; A I Iglesias Carbajo; M A Alonso Álvarez; C Vicente Martínez; G Solís Sánchez Journal: Rev Esp Quimioter Date: 2021-01-26 Impact factor: 1.553