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JAC Advance Access published online on July 8, 2004

Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkh342
© 2004 by The British Society for Antimicrobial Chemotherapy
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Received January 13, 2004
Revised April 21, 2004
Accepted May 29, 2004

Antimicrobial practice

No significant decrease in antibiotic use from 1992 to 2000, in the French community

Agnès Sommet 1, Catherine Sermet 2, Pierre Yves Boëlle 3, Muriel Tafflet 2, Claire Bernède 1, Didier Guillemot 1*

1 Institut Pasteur, 25-28 rue du Dr Roux, 75724 Paris Cedex 15, France
2 Centre de Recherche et de Documentation en Economie de la Santé, Paris, France
3 INSERM U444, Paris, France

* To whom correspondence should be addressed. E-mail: guillemo{at}pasteur.fr.


   Abstract

Objectives: To analyse trends in antibiotic exposure of the French population from 1992 to 2000.

Methods: The analysis used data provided by a representative annual nationwide survey of health care consumption in the community.

Results: The frequency of antibiotic use increased from 4.7 per 100 person-months in 1992 to 7.3 in 1995, and remained stable from 1998 to 2000. Children under 7 years of age were three times more strongly exposed to antibiotics than older subjects. Respiratory tract infections of probable viral aetiology and sore throat accounted for >50% of antibacterial prescriptions.

Conclusions: We identified two major priorities for campaigns designed to reduce antibiotic exposure of the French population in the community, namely respiratory tract infections of presumed viral origin, and children under 7 years of age.

Keywords: pharmacoepidemiology; anti-infectives; public health.
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