Outpatient antibiotic use and prevalence of antibiotic-resistant pneumococci in France and Germany: A sociocultural perspective
Outpatient antibiotic use and prevalence of antibiotic-resistant pneumococci in France and Germany: A sociocultural perspective
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DOI：
10.3201/eid0812.010533
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发表时间：
2002-12-01
影响因子：
11.8
通讯作者：
Brun-Buisson, C
中科院分区：
文献类型：
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作者：
Harbarth, S;Albrich, W;Brun-Buisson, C
在法国（43%）和德国（7%）之间，青霉素不敏感肺炎球菌的患病率存在明显差异。这些差异可以在不同的层面上解释：呼吸道感染的抗生素处方做法；患者需求因素与健康信念差异；社会决定因素，包括不同的托儿做法；以及监管实践的差异。了解这些决定因素对于可能的干预措施的成功至关重要。最后，我们强调社会文化方法的总体重要性，以防止抗生素耐药性在社区。
The prevalence of penicillin-nonsusceptible pneumococci is sharply divided between France (43%) and Germany (7%). These differences may be explained on different levels: antibiotic-prescribing practices for respiratory tract infections; patient-demand factors and health-belief differences; social determinants, including differing child-care practices; and differences in regulatory practices. Understanding these determinants is crucial for the success of possible interventions. Finally, we emphasize the overarching importance of a sociocultural approach to preventing antibiotic resistance in the community.