Analysis of antibiotic use based on the 2001 national prevalence survey

In 2001, the National Prevalence Survey provided a nationwide overview of the use of antibiotics for curative or prophylactic purposes among all hospitalized patients on a "given day"; 90% of public hospitals and half of private hospitals participated in the survey. The prevalence of antibiotic treatment on the day of the survey was 15.9% for all hospitalized patients, 24.3% for short-stay patients, and 46.4% for intensive care patients. On the day of the survey, 4% of hospitalized patients were receiving systemic antibiotics to treat a nosocomial infection and the same percentage for prophylaxis. Among patients receiving antibiotics in short-stay care, 53% were being treated for a community-acquired infection, 18% for a nosocomial infection, and 29% were on prophylaxis. The most common indications were: in intensive care, community-acquired infection (41%) and nosocomial infection (38%); in medical wards, community-acquired infection (71%); and in surgical wards, prophylaxis (52%). Amikacin and glycopeptides were most frequently used to treat nosocomial infections. Fluoroquinolones were the most commonly prescribed antibiotics for nosocomial infections and, across all indications, ranked second, after the amoxicillin/clavulanic acid combination. This is the first nationwide description of therapeutic practices regarding antibiotic therapy in hospitals, based on the characteristics of healthcare facilities, departments, indications, and patient characteristics. (R.A.)

Author(s): Lemanissier V, Aubry Damon H, Lepoutre A, Coignard B

Publishing year: 2004

Pages: 56 p.

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