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Published on: August 30, 2018
Decreased paediatric antibiotic consumption in France between 2000 and 2010
Marie-Aliette Dommergues1, Véronique Hentgen
1Service de Pédiatrie, Centre Hospitalier de Versailles, Le Chesnay, France. madommergues@orange.fr
Insights
France saw a significant decrease in antibiotic prescriptions for children following a national campaign. However, antibiotic use for otitis increased, particularly in young children, indicating a need for targeted interventions.
Area of Science:
- Public Health
- Infectious Diseases
- Pharmacology
Background:
- Antibiotic resistance is a global public health crisis, exacerbated by high consumption rates.
- France implemented a national campaign in 2001 and guidelines in 2005 to curb inappropriate antibiotic use.
- Respiratory tract infections are a common reason for antibiotic prescriptions in children.
Purpose of the Study:
- To analyze trends in pediatric outpatient antibiotic use in France from 2000 to 2010.
- To evaluate the impact of national interventions on antibiotic prescribing patterns in children.
- To identify specific conditions contributing to changes in antibiotic consumption.
Main Methods:
- Data were sourced from the Permanent Survey of Medical Prescription (PSMP) in France.
- Prescribing patterns were analyzed from 835 general practitioners and specialists.
- The study period spanned from 2000 to 2010, focusing on pediatric outpatient antibiotic use.
Main Results:
- Overall antibiotic prescriptions for children decreased significantly between 2001 and 2010 across all age groups.
- The largest reduction was observed for rhinopharyngitis, while otitis showed the smallest decrease.
- The proportion of antibiotic prescriptions for otitis in infants (0-24 months) nearly doubled, from 22.5% to 42.3%.
Conclusions:
- Despite overall reductions, antibiotic consumption for otitis in young children remains a concern.
- Further targeted strategies are required to address the rising proportion of antibiotic use for otitis.
- Optimizing antibiotic stewardship for common childhood infections is crucial.
Background:
Antibiotic consumption is one of the main causes of bacterial resistance to antibiotics and a major public health problem worldwide, especially in France. A national campaign was implemented in 2001 to reduce the inappropriate use of antibiotics in France, and guidelines for the management of respiratory tract infections were published in 2005.
Methods:
In this study, data on paediatric outpatient antibiotic use in France between 2000 and 2010 were derived from prescribing panels of the Permanent Survey of Medical Prescription, which analyzed prescriptions by 835 French general practitioners and specialists.
Results:
Overall, antibiotic prescriptions decreased by 57.2% between 2001 and 2010 in children aged 0-24 months, by 50.0% in children aged 25 months to 6 y, and by 45.8% in children older than 6 y of age. In the 3 age groups, the greatest reduction was for rhinopharyngitis (83.4%) and the lowest was for otitis (22.4%). Because otitis is one of the most common diseases in childhood, the proportion of antibiotic prescriptions due to otitis in children aged 0-24 months consequently increased from 22.5% in 2000 to 42.3% in 2010.
Conclusion:
Additional measures may be necessary to decrease antibiotic consumption related to otitis in young children.
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