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Emerg Infect Dis. 2002 Dec;8(12):1460-7.

Outpatient antibiotic use and prevalence of antibiotic-resistant pneumococci in France and Germany: a sociocultural perspective.

Author information

1
University of Geneva Hospitals, Switzerland. harbarth@post.harvard.edu

Abstract

The prevalence of penicillin-nonsusceptible pneumococci is sharply divided between France (43%) and Germany (7%). These differences may be explained on different levels: antibiotic-prescribing practices for respiratory tract infections; patient-demand factors and health-belief differences; social determinants, including differing child-care practices; and differences in regulatory practices. Understanding these determinants is crucial for the success of possible interventions. Finally, we emphasize the overarching importance of a sociocultural approach to preventing antibiotic resistance in the community.

PMID:
12498664
PMCID:
PMC2738507
DOI:
10.3201/eid0812.010533
[Indexed for MEDLINE]
Free PMC Article

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