[Evolution of the management of lung diseases in general medicine in Bordeaux (1992-1995)].
Lower respiratory tract infections (LRTI) are very often managed by General Practitioners (GPs). In France, the 1991 Lille Consensus Conference set out guidelines for the management of respiratory tract infections; in 1994, the Ministry of Health published Official Medical Recommendations (OMR) to be applied to seasonal respiratory infections. The aim of the study is to evaluate the impact of these OMR in 1995 on GPs' attitude when confronted with a community-acquired pneumonia in a previously healthy 40-year-old adult, with no sign of complications. Sixty seven GPs took, part in the same study by questionnaire in 1992 and 1995; we observed an increase in the prescription of aminopenicillin without a beta-lactamase inhibitor (41% in 1992 vs 66% in 1995; p = 0.009), and a reduction in both the use of aminopenicillin with a beta-lactamase inhibitor (35% in 1992 vs 11% in 1995; p = 0.002) and the concomitant prescription of cortico-steroids (43% in 1992 vs 14% vs 14% in 1995; p = 0.0009). Between 1992 and 1995, general practitioners in the Bordeaux region have changed their therapeutic choices in community-acquired pneumonia. In 1995, antibiotic prescriptions followed consensus guidelines more closely.
Vernejoux
J M
JM
Service des Maladies Respiratoires, Hôpital du Haut-Lévêque, CHU de Bordeaux, Pessac.
Raherison
C
C
Tunon de Lara
J M
JM
Taytard
A
A
D000328:Adult; D005194:Family Practice / Q000639:trends; D005602:France; D006801:Humans; D008171:Lung Diseases / Q000382:microbiology* / Q000628:therapy*; D008297:Male; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires