Bibliographic Details
| Title: |
Antibiotic prescription in ambulatory care for COVID-19 patients: a cohort analysis in four European countries. |
| Authors: |
Matta, Matta1 (AUTHOR) matta-antoun.matta@ghsif.fr, Gantzer, Laurène2 (AUTHOR), Chakvetadze, Catherine1 (AUTHOR), Moussiegt, Aurore1 (AUTHOR), De Pontfarcy, Astrid1 (AUTHOR), Lekens, Beranger2 (AUTHOR), Diamantis, Sylvain1,3 (AUTHOR) |
| Source: |
European Journal of Clinical Microbiology & Infectious Diseases. Jan2024, Vol. 43 Issue 1, p115-119. 5p. |
| Subject Terms: |
*COVID-19, *COVID-19 pandemic, *AZITHROMYCIN, *OUTPATIENT medical care, *ANTIBIOTICS, *COHORT analysis, *MEDICAL prescriptions |
| Geographic Terms: |
BELGIUM, ROMANIA, FRANCE |
| Abstract: |
Objective: To analyse antibiotic prescription rates in ambulatory care for COVID-19 patients by general practitioners (GPs) in four European countries. Methods: A total of 4,513,955 anonymised electronic prescribing records of 3656 GPs in four European countries were analysed. Diagnosis and prescriptions were retrieved. Antibiotic prescription rates during COVID-19 consultations were analysed and compared between France, the UK, Belgium and Romania. Results: Overall prescription rate was in France and Belgium (6.66 and 7.46%). However, analysing median GP prescribing rates, we found that 33.9% of the GPs in Belgium prescribed antibiotics with a median of 16 prescriptions per 100 COVID-19 consultations, while 55.21% of the GPs in France prescribed a median of 8 antibiotic prescriptions per 100 COVID-19 consultations. Overall antibiotic prescription rates were less in Romania than in the UK (22% vs 32%); however, 73% of the Romanian GPs vs 57% of the British GPs prescribed antibiotics. Depending on the country, the proportion of each type of antibiotic was statistically different, with the proportion of azithromycin being more than 50% of all antibiotics in each country except for the UK where it was less than 1%. Conclusion: Both individual GPs prescribing patterns in addition to overall consumption patterns should be analysed in order to implement a tailored antimicrobial stewardship programme. Furthermore, antibiotic prescribing rates in COVID-19 are lower than other respiratory tract infections. [ABSTRACT FROM AUTHOR] |
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| Database: |
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