ArticleEuropean journal of clinical pharmacology2004
Respiratory tract infections in general practice: considerable differences in prescribing habits between general practitioners in Denmark and Spain.
Article in European journal of clinical pharmacology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 44 citations in OpenAlex.
- Factors influencing antibiotic prescribing for respiratory tract infections in primary care - a comparison of physicians with different antibiotic prescribing rates.Scandinavian journal of primary health care · 2024Article
- Antibiotic use in Australian and Swedish primary care: a cross-country comparison.Scandinavian journal of primary health care · 2022Article
- Diagnosis-linked antibiotic prescribing in Swedish primary care - a comparison between in-hours and out-of-hours.BMC infectious diseases · 2020Article
- Who is willing to stay sick for the collective? - Individual characteristics, experience, and trust.SSM - population health · 2019Article
- The quality of outpatient antimicrobial prescribing: a comparison between two areas of northern and southern Europe.European journal of clinical pharmacology · 2014Article
- Marked differences in GPs' diagnosis of pneumonia between Denmark and Spain: a cross-sectional study.Primary care respiratory journal : journal of the General Practice Airways Group · 2013Article
- Assessment of antibiotic prescribing at different hospitals and primary health care facilities.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2013Article
- Attitudes of community pharmacists to antibiotic dispensing and microbial resistance: a qualitative study in Portugal.International journal of clinical pharmacy · 2013Article
- Resistance surveillance studies: a multifaceted problem--the fluoroquinolone example.Infection · 2012Review
- [High exposure to antibiotics in the population and differences by sex and age].Atencion primaria · 2011Article
- Variation in antibiotic prescribing and its impact on recovery in patients with acute cough in primary care: prospective study in 13 countries.BMJ (Clinical research ed.) · 2009Article
- Determining factors in the prescription of moxifloxacin in exacerbations of chronic bronchitis in the primary-care setting.Clinical drug investigation · 2007Article
- Effect of intervention promoting a reduction in antibiotic prescribing by improvement of diagnostic procedures: a prospective, before and after study in general practice.European journal of clinical pharmacology · 2006Article
- Assessment of attitudes and practices of young Malaysian adults about antibiotics use: a cross-sectional study.Pharmacy practiceArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe prevalence of antibiotic resistance in a country reflects the local consumption of antibiotics. The majority of antibiotics are prescribed in general practice and most prescriptions are attributable to treatment of respiratory tract infections (RTIs). The aim of this study was to compare general practitioners' (GPs') prescribing of antibiotics for respiratory tract infections in a country with a high prevalence of antibiotic resistance (Spain) with a country with a low prevalence of antibiotic resistance (Denmark).
methodsA group of GPs in Copenhagen and Barcelona registered all contacts ( n=2833) with patients with RTIs during a 3-week period between 1 November 2001 and 31 January 2002.
resultsOverall, Spanish GPs treated a higher proportion of patients than Danish GPs. After adjusting for unequal distribution of age and sex, we found that Spanish GPs prescribed significantly more antibiotics to patients with focus of infection in tonsils and bronchi/lungs. Narrow-spectrum penicillin was the most used antibiotic in Denmark, representing 58% of all prescriptions issued, followed by macrolide and broad-spectrum penicillin. In Spain, prescriptions were distributed among a great number of compounds, with broad-spectrum penicillins and combinations of amoxicillin plus beta-lactamase inhibitors most frequently used.
conclusionThe substantial difference in the way GPs manage respiratory tract infections in Denmark and Spain cannot be explained by different patterns of RTIs in general practice. The discrepancies indicate variations in national recommendations, different treatment traditions or different impact of pharmaceutical marketing.
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