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Related Experiment Videos

How appropriate is asthma therapy in general practice?

Laurent Laforest1, Yves Pacheco, Jean Bousquet

  • 1Pharmacoepidemiology Unit, EA 3091, CHU-Lyon, France.

Fundamental & Clinical Pharmacology
|January 22, 2005
PubMed
Summary
This summary is machine-generated.

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Asthma management by French general practitioners is suboptimal, with frequent prescriptions of antibiotics and other non-controller medications. Inhaled corticosteroids were underused, indicating a need for improved asthma control strategies.

Area of Science:

  • Pulmonology
  • General Practice
  • Public Health

Background:

  • Asthma's significant burden is linked to inadequate disease control, highlighting asthma management as a critical public health concern.
  • General practitioners (GPs) play a key role in managing asthma, but their prescribing practices require evaluation.

Purpose of the Study:

  • To analyze asthma management strategies employed by general practitioners in France.
  • To describe drug therapy patterns, focusing on identifying factors associated with antibiotic prescriptions as an indicator of inappropriate asthma management.

Main Methods:

  • A 12-month retrospective study involving 1038 adult patients (17-50 years) with persistent asthma.
  • Data collected from a computerized GP database (Thales) and patient surveys on hospitalizations, oral corticosteroid use, and recent symptoms.

Related Experiment Videos

  • Multivariate logistic regression was used to identify correlates of antibiotic prescriptions.

    • Main Results:

    • Inhaled corticosteroid use was 61.6%, while 57.6% received antibiotics, 42.0% expectorants, and 33.0% antihistamines.
    • Antibiotic prescriptions were significantly associated with the use of expectorants (OR=13.0) and antitussives (OR=6.5).
    • Patients with frequent GP visits (>4) and those using oral corticosteroids were more likely to receive antibiotics.

    Conclusions:

    • Asthma management by French GPs is suboptimal, characterized by underuse of asthma controllers and overuse of antibiotics and symptomatic treatments.
    • Prescribing patterns suggest a need for enhanced asthma education and guideline implementation for general practitioners to improve disease control.