[Hospital fluoroquinolone prescription habits in northern France].
OBJECTIVE
The aim of the study was to assess the good use organization and fluoroquinolone prescription habits in cases of bone and joint, urinary, pulmonary, and digestive infections.


METHODS
A declarative survey was made (questionnaire for the hospital and for the prescriber).


RESULTS
Thirty percent (44/145) of hospitals participated with 274 prescribers. Eighty percent had prescription protocols, 71 % of clinicians had access to epidemiologic data. A percentage of 30.7 (853/2,771) of prescriptions included a fluoroquinolone, 44.5 % (380/853) among these had not been recommended. The excessive prescription reached 24.4 % (116/474) in case of bone and joint infection, 14.6 % (107/731), and 20 % (157/779) in cases of digestive and respiratory infection respectively. Prescriptions for urinary infection were adequate in 47.6 % (375/787) of cases. Inadequate prescriptions were made because of bad knowledge of bacteria resistance epidemiology and pharmacology (insufficient dose, monotherapy at risk of selection), and non-application of good practice recommendations.


CONCLUSIONS
This study justifies the rationalization of antibiotic prescription.
Levent
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T
Equipe Opérationnelle en Hygiène, Centre Hospitalier de Sambre Avesnois, boulevard Pasteur, 59600 Maubeuge, France. t levent@ch-sa.com
Cabaret
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P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D024841:Fluoroquinolones / Q000627:therapeutic use*; D005602:France; D006761:Hospitals; D006801:Humans; D011795:Surveys and Questionnaires
D000900:Anti-Bacterial Agents; D024841:Fluoroquinolones