Outpatient use of systemic antibiotics in Poland: 2004-2008
Journal Title: Przegląd Epidemiologiczny - Year 2014, Vol 68, Issue 3
Abstract
OBJECTIVES. The goal of this study was to evaluate the quantity and pattern of outpatient antibiotic use in Poland between 2004 and 2008 and to determine the trends in prescribing practice. To investigate the oral and parenteral outpatient antibiotic use in Poland. MATERIAL AND METHODS. Data concerning outpatient use of systemic antibiotics between 2004 and 2008 were obtained from Polish National Health Fund databases expressed as the number of defined daily doses (DDD) per 1000 inhabitants per day (DID) according to the international Anatomical Therapeutic Chemical ATC classification system of the World Health Organization (WHO, version 2009). RESULTS. Total outpatient antibiotic use in Poland varied from the lowest 17.88DID in 2004 to the highest 21.39DID in 2007. Penicillins (J01C) represented the most frequently prescribed antibiotics constituting more than 50% of the total outpatient antibiotic use. The other most popular groups of antibiotics were tetracyclines (J01A), macrolides (J01F). On the fourth and fifth position were cephalosporins (J01D) and quinolones (J01M), respectively. The parenteral antibiotic use did not exceed 1% of the total outpatient antibiotics prescribed with cefuroxime being the most frequently prescribed drug. CONCLUSIONS. Total outpatient use of antibiotics in Poland in 2004-2008 was comparable to the median European level. The consumption of all antibiotics slightly increased from 2004 to 2007, and decreased in 2008. The most often prescribed antibiotics were penicillins, mainly amoxicillin and amoxicillin with enzyme inhibitor. During the study period the use of the older (narrow-spectrum) antibiotics decreased in favour of the newer (broad-spectrum) antibiotics. The results suggest the discrepancy between national recommendations and choice of antibiotics by physicians.
Authors and Affiliations
Małgorzata Chlabicz, Sławomir Chlabicz, Ludmiła Marcinowicz, Dorota Rogowska-Szadkowska, Barbara Pytel-Krolczuk, Katarzyna Leszczyńska
Keywords
Related Articles
- EP ID EP72707
- DOI -
- Views 77
- Downloads 0
Outbreak of alimentary tick-borne encephalitis in Podlaskie voivodeship, Poland / Ognisko zachorowań na kleszczowe zapalenie mózgu nabyte drogą pokarmową na terenie województwa podlaskiego
INTRODUCTION. Tick-borne encephalitis (TBE) virus remains one of the main etiological agents of central nervous system infections in Europe. The disease occurs endemically in Central and Eastern Europe, Southern part of...
Malaria w Polsce w 2013 roku
CEL. Ocena sytuacji epidemiologicznej malarii w Polsce w 2013 r w porównaniu z latami wcześniejszymi. MATERIAŁ I METODY. Ocenę przeprowadzono w oparciu o wyniki analizy indywidualnych raportów przesyłanych do NIZP-PZH pr...
Evaluation of economic effects of population ageing - methodology of estimating indirect costs
Process of demographic ageing, especially in recent decades, is steadily growing in dynamics and importance due to increasing health-related needs and expectations with regard to a guarantee of social services. Elaborati...
Infectious diseases in Poland in 2015 / Infectious diseases in Poland in 2015 / Choroby zakaźne w Polsce w 2015
PURPOSE OF THE STUDY: This is the next annual analysis of the situation of infectious and parasitic diseases in Poland in 2015 within the framework of the Epidemiological Chronicle of Przegląd Epidemiologiczny - Epidemio...
Usefulness of SOFA score and artesunate - based treatment in severe malaria – a single center study / Użyteczność skali SOFA oraz terapii opartej na artesunacie w ciężkiej malarii – badanie jednoośrodkowe
INTRODUCTION: This study was conducted to assess the usefulness of the guidelines of treatment recommended in Malaria diagnosis and treatment guideline published by University College London Hospitals-NHS Foundation Trus...