Improving Antibiotic Use in the Community The Belgian Experience

87 Pages·2006·4.56 MB·English

Improving Antibiotic Use in the Community
The Belgian Experience
Samuel Coenen
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Belgian antibiotic campaign
Different kinds of interventions (2000-2005)
Public campaigns (BAPCOC)
(cid:153)
Information for prescribers in ambulatory care:
(cid:153)
Guidelines (Scientific Colleges and BAPCOC)
•
Prescribing information (Folia Pharmacotherapeutica (BCFI))
•
Conclusions of consensus meetings (NHDII)
•
Prescribing feedback (NHDII, Scientific Colleges, IMA, …)
•
Medflash (BAPCOC)
•
Other projects (FWO, FGOV, EC, …)
(cid:153)
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Belgian antibiotic campaign
Guidelines (Scientific Colleges and BAPCOC)
Acute sore throat (2001)
•
Acute otitis media (2001)
•
Acute cystitis in women (2001)
•
Vaginitis and vaginose (2001)
•
Acne (2002)
•
Acute cough (2002)
•
Chlamydia trachomatis (2004)
•
Acute rhino-sinusitis (2004)
•
Acute exacerbation of COPD
•
Acute lower respiratory tract infection
•
www.wvvh.be – www.ssmg.be - www.bapcoc.be
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Belgian antibiotic campaign
Prescribing information (Folia Pharmacotherapeutica (BCFI))
Antibiotic resistance, a challenge for physician and pharmacists (2000)
•
Rational use of antibiotics in acute respiratory tract infection in primary
•
care (2004)
Rational use of antibiotics in urinary tract infection in primary care (2005)
•
Conclusions of consensus meetings (NHDII)
Appropriate use of antibiotics in acute infections of ear-nose-throat and
•
the lower respiratory tract in ambulatory care (2000)
Appropriate use of antibiotics in acute enteritis and acute uro-genital
•
infections in ambulatory care (2001)
Medflash (BAPCOC)
www.bcfi.be – inami.fgov.be - www.bapcoc.be
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Belgian antibiotic campaign
Medflash (BAPCOC)
www.bapcoc.be
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Belgian antibiotic campaign
Other projects
European Conference on Antibiotic Use in Europe (2001)*
•
European Surveillance of Antimicrobial Consumption (ESAC) (2001-)
•
Antibiotics for coughing in general practice (2003)
•
Antibiotic for acute cystitis in general practice (2004)
•
Antibiotics for acute rhino-sinusitis in general practice (2005)*
•
International Workshop on Educational Campaigns (2004)
•
ESAC Ambulatory Care Subproject (2005-)
•
ESF Workshop on Antibiotic Prescribing Quality Indicators (2005)
•
Genomics to combat Resistance against Antibiotic in Community-
•
acquired lrti in Europe (GRACE) (2006-)
* Project Farmaka
www.antwerpgp/be - www.ua.ac.be/esac – www.esf.org
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Public educational campaigns in Belgium
I-III: Antibiotics: use them less often but better (2000-2003)
IV : For flu, common cold and acute bronchitis antibiotics won’t help (2004)
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Public educational campaigns in Belgium I - III
Antibiotics: use them less often but better
www.red-antibiotica.org – JAMA 2005;292;2468-70
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Two Public Campaigns for a
(2000-2001 and 2001-2002)
More Rational Use of Antibiotics in Belgium:
Succes and Limitations
I. BAURAIND +, E. HENDRICKX, I. VANDEN BREMT, H. GOOSSENS, Ph.
MOUCHET, P. TREFOIS, F. YANE, J.-L. MARCHAL, B. SEYS, J.M. LOPEZ-
LOZANO, A. BEYAERT, P.M. TULKENS & L. VERBIST
• Federal Public Services of Social Affairs, Public Health & Environment,
Brussels;
• Universiteit Antwerpen, Antwerp;
• Question Santé asbl, Brussels;
• Belgian Institute of Pharmacoepidemiology, Brussels;
• Belgian Institute of Public Health, Brussels;
• Hospital Vega Baja, Orihuela-Alicante, Spain;
• Universidad de Murcia, Murcia, Spain;
• Université catholique de Louvain, Brussels;
• Katholieke Universiteit Leuven, Louvain;
_______
+ deceased Feb 2002
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
Why the campaigns (as seen in 1999) ?
40
)
y
a
d 30 • Belgium (10 mill.
/
.
h
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i inhab.) has a larger AB
20
0 Belgium EU-range
0
0
, consumption than most
1
/ 10
D
D
D EU countries
(
s 0
e
(various convergent sources)
l
a
S

c
i
t
o 30
i
b
i
t
n
A

t 25
n • this consumption has
e
i
t
a
p remained constantly
t
u 20
O
high over the 1996 -
1996 1997 1998 1999
Year 1999 period
Centre for General Practice - University of Antwerp & Fund for Scientific Research - Flanders
(d t f th B l i I tit t f