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Pneumococcal resistance patterns in Europe

C Pradier1, B Dunais, H Carsenti-Etesse

  • 1Department of Infectious and Tropical Disease, Hôpital de l'Archet I, Nice, France.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|November 14, 1997
PubMed
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Penicillin-resistant Streptococcus pneumoniae strains vary across Europe due to local antibiotic use and patient compliance. Reducing antibiotic consumption and improving compliance can reverse resistance trends.

Area of Science:

  • Microbiology
  • Epidemiology
  • Pharmacology

Background:

  • Streptococcus pneumoniae strains with decreased penicillin susceptibility have emerged globally over two decades.
  • Significant variations in penicillin susceptibility exist among European countries, indicating the influence of local factors on resistant strain propagation.

Purpose of the Study:

  • To compare penicillin resistance patterns, antibiotic usage, administration methods, and treatment compliance across five European nations.
  • To investigate the correlation between local conditions and the prevalence of penicillin-resistant pneumococci.

Main Methods:

  • Comparative analysis of penicillin resistance data, antibiotic prescription rates, and administration modes.
  • Assessment of patient compliance with oral antimicrobial prescriptions in France, Spain, Germany, Italy, and the UK.

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Main Results:

  • High rates of penicillin resistance in Spain and France correlate with widespread antibiotic prescribing.
  • Inadequate patient compliance (>50%) with oral antibiotics is prevalent across Europe.
  • Lower antibiotic consumption and better compliance in Germany and the UK align with reduced penicillin resistance.

Conclusions:

  • Local antibiotic use and patient compliance significantly impact Streptococcus pneumoniae penicillin resistance.
  • Pneumococcal resistance is not irreversible; public awareness and improved antibiotic stewardship can lead to decreased resistance rates, as seen in Hungary and Iceland.