Prevalence of Antibiotic Treatment in Healthcare Facilities, France, 2006

The antibiotic component of the 2006 national survey on the prevalence of nosocomial infections aimed to describe the antibiotics prescribed in healthcare facilities. Conducted on a specific day in June according to a standardized protocol, the survey included all inpatients; antibiotics were recorded according to the ATC5 classification. Of the 358,353 patients included (2,337 HC), 55,624 (15.5%) received treatment for a total of 74,515 antibiotics. The prevalence of treated patients (PpATB) was higher in short-stay care (24.8%), particularly in intensive care (49.0%), than in follow-up care and rehabilitation (SSR, 9.9%) or long-term care (SLD, 4.3%). It varied by indication: community-acquired infection (7.4%), nosocomial infection (NI, 3.9%), surgical antibiotic prophylaxis (2.4%), prophylaxis of opportunistic infections (1.3%), or multiple indications (0.5%). The most commonly prescribed drugs were amoxicillin-clavulanic acid, ofloxacin, amoxicillin, ceftriaxone, and ciprofloxacin. From 2001 to 2006, the PpATB changed little (16.4% vs. 16.7%) among the 1,351 healthcare facilities that participated in both surveys. It increased in intensive care units but decreased in obstetrics, post-surgical care, long-term care, and psychiatry. It decreased for hospital-acquired infections or prophylaxis and showed contrasting trends by age for community-acquired infections. Strengthened efforts to preserve antibiotic efficacy in hospitals are necessary. (R.A.)

Author(s): Maugat S, Thiolet JM, L'heriteau F, Gautier C, Tronel H, Metzger MH, Jarno P, Lacave L, Coignard B

Publishing year: 2007

Pages: 432-7

Weekly Epidemiological Bulletin, 2007, n° 51-52, p. 432-7

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