Significant Reduction of Antibiotic Use in the Community after a Nationwide Campaign in France, 2002–2007 英文参考文献.docVIP

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Significant Reduction of Antibiotic Use in the Community after a Nationwide Campaign in France, 2002–2007 英文参考文献.doc

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Significant Reduction of Antibiotic Use in the Community after a Nationwide Campaign in France, 2002–2007 英文参考文献

SignificantReductionofAntibioticUseinthe CommunityafteraNationwideCampaigninFrance, 2002–2007 ElifsuSabuncu1,2,JulieDavid1,2,ClaireBerne`de-Bauduin1,2,SophiePe′pin3,MichelLeroy4 ,Pierre-Yves Boe¨lle5,6,LaurenceWatier7,8,DidierGuillemot1,2,9,10 * 1INSERM,U657,Paris,France,2InstitutPasteur,Pharmacoe′pide′miologieetMaladiesInfectieuses,Paris,France,3CaisseNationaled’AssuranceMaladiedesTravailleurs Salarie′s,Paris,France,4Re′gimeSocialdesInde′pendants, LaPlaine-Saint-Denis,France,5INSERM,U707,Paris,France,6Faculte′ deMe′decine SaintAntoine,Universite′ PierreetMarieCurie,Paris,France,7INSERM,U780,Villejuif,France,8Universite′ Paris-Sud11,IFR69,LeKremlin-Bice?tre,France,9Faculte′ deMe′decineParisIle-de-France Ouest,Universite′ VersaillesSaint-Quentin,Versailles,France,10De′partementdeme′decine aigu¨e,Ho?pitalUniversitaireRaymond-Poincare′, AssistancePublique-Ho?pitaux deParis,Garches,France Abstract Background:Overuseofantibioticsisthemainforcedrivingtheemergenceanddisseminationofbacterialresistanceinthe community. France consumes more antibiotics and has the highest rate of beta-lactam resistance in Streptococcus pneumoniaethananyotherEuropeancountry.In2001,thegovernmentinitiated‘‘KeepAntibioticsWorking’’;theprogram’s main component was a campaign entitled ‘‘Les antibiotiques c’est pas automatique’’ (‘‘Antibiotics are not automatic’’) launched in 2002. We report the evaluation of this campaign by analyzing the evolution of outpatient antibiotic use in France2000–2007,accordingtotherapeuticclassandgeographicandage-grouppatterns. MethodsandFindings:Thisevaluationisbasedon2000–2007data,including453,407,458individualreimbursementdata records and incidence of flu-like syndromes (FLSs). Data were obtained from the computerized French National Health InsurancedatabaseandprovidedbytheFrenchSentinelNetwork.Ascomparedtothepreinterventionperiod(2000–2002), the total number of antibiotic prescriptions per 100 inhabitants, adjusted for FLS frequency during the w