title: [Rational antibiotic treatment can be achieved through audits and teaching].
abstract: A prerequisite for rational antibiotic treatment is the suspicion that the disease is caused by bacteria and that treatment will reduce symptoms and complications. In primary health care most infections are caused by bacteria. The European project HAPPY AUDIT found that an intervention targeting doctors and patients in primary care led to a considerable decrease in antibiotic prescribing. Teaching of hospital doctors, combined with a restriction in the choice of antibiotics, resulted in a decrease in multidrug-resistant strains. A concerted effort is needed to curb the growing resistance problem.
authors: Institut for Folkesundhedsvidenskab, Afdeling for Almen Medicin og Forskningsenheden for Almen Praksis, Københavns Universitet, Øster Farimagsgade 5, 1014 København K, Denmark. lbjerrum@sund.ku.dk
authors: Lars
authors: L
authors: Bjerrum
authors: Bente
authors: B
authors: Gahrn-Hansen
authors: Hans Jørn
authors: HJ
authors: Kolmos
authors: Anders
authors: A
authors: Munck
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000009:adverse effects; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology; D054869:Clinical Audit; D011307:Drug Prescriptions / Q000592:standards / Q000706:statistics & numerical data; D024881:Drug Resistance, Bacterial; D004363:Drug Utilization / Q000592:standards / Q000706:statistics & numerical data; D058006:General Practice / Q000193:education; D006801:Humans; D057970:Inappropriate Prescribing; D008828:Microbiological Techniques / Q000592:standards; D011785:Quality Assurance, Health Care
chemical_list: D000900:Anti-Bacterial Agents