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Antibiotic use in Barcelona in 2023 in primary care and the potential reduction by adjusting box sizes to current guidelines.

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Title: Antibiotic use in Barcelona in 2023 in primary care and the potential reduction by adjusting box sizes to current guidelines.
Alternate Title: Uso de antibióticos en Barcelona en 2023 en atención primaria y reducción potencial ajustando el tamaño de los envases a las guías actuales.
Authors: Llor, Carl1,2,3,4 carles.llor@gmail.com, Rodríguez-Bernuz, Cristina5, Troncoso-Marlño, Amella5
Source: Revista Española de Quimioterapia. dic2024, Vol. 37 Issue 6, p504-508. 5p.
Subjects: ANTIBIOTICS, ANTIBACTERIAL agents, PRIMARY care, DRUG prescribing
Geographic Terms: BARCELONA (Spain), SPAIN
Abstract (English): Introduction. Prior research has not examined the size of antibiotic packages prescribed. We assessed 2023 prescription rates in Barcelona and the most prescribed presentations in pharmacies, while evaluating potential reductions if all amoxicillin and amoxicillin/clavulanate containers had 20 doses. Methods. Antibiotics prescribed by primary care doctors working for the Catalonian Health Institute in Barcelona in 2023 were analysed by calculating the defined daily doses per 1,000 inhabitants and day (DID). Results. The observed prescribing rate was 8 DID, with penicillins accounting for 4.6 DID (57.2%). The most frequently prescribed antibiotics were amoxicillin and amoxicillin/clavulanate, making up 4.4 DID. If all the 30-dose presentations of amoxicillin and amoxicillin/clavulanate had been 20-dose containers, the total number of DIDs would have been 3.3, resulting in a reduction of 1.1 DID (25.4% less). Conclusions. Antibiotic prescribing rate in Barcelona was low. Aligning the dosage of antibiotics with established guidelines could further reduce antibiotic consumption. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. No se ha analizado hasta ahora el tamaño de los envases antibióticos. Evaluamos el uso de antibióticos recetados en Barcelona en 2023. Además, evaluamos la posible reducción en su uso si los envases de amoxicilina y amoxicilina + ácido clavulánico prescritos contuvieran 20 dosis. Métodos. Se analizaron los antibióticos prescritos por los médicos de atención primaria en Barcelona pertenecientes al ICS en el año 2023, calculando la dosis diaria definida por 1000 habitantes y día (DHD). Resultados. El uso total fue de 8 DHD, correspondiendo a penicilinas 4,6 DHD (57,2%). Los antibióticos más prescritos fueron amoxicilina y amoxicilina + ácido clavulánico, representando 4,4 DHD. Si todas las presentaciones de 30 dosis hubieran sido de 20 dosis, el número total de DHD habría sido de 3,3, con una reducción de 1,1 DHD (25,4% menos). Conclusiones. El uso antibiótico en Barcelona fue bajo. Ajustar las dosis de antibióticos con las pautas establecidas podría reducir aún más su uso. [ABSTRACT FROM AUTHOR]
Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Antibiotic use in Barcelona in 2023 in primary care and the potential reduction by adjusting box sizes to current guidelines.
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  Data: Uso de antibióticos en Barcelona en 2023 en atención primaria y reducción potencial ajustando el tamaño de los envases a las guías actuales.
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  Data: <searchLink fieldCode="JN" term="%22Revista+Española+de+Quimioterapia%22">Revista Española de Quimioterapia</searchLink>. dic2024, Vol. 37 Issue 6, p504-508. 5p.
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  Data: <searchLink fieldCode="DE" term="%22ANTIBIOTICS%22">ANTIBIOTICS</searchLink><br /><searchLink fieldCode="DE" term="%22ANTIBACTERIAL+agents%22">ANTIBACTERIAL agents</searchLink><br /><searchLink fieldCode="DE" term="%22PRIMARY+care%22">PRIMARY care</searchLink><br /><searchLink fieldCode="DE" term="%22DRUG+prescribing%22">DRUG prescribing</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22BARCELONA+%28Spain%29%22">BARCELONA (Spain)</searchLink><br /><searchLink fieldCode="DE" term="%22SPAIN%22">SPAIN</searchLink>
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  Label: Abstract (English)
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  Data: Introduction. Prior research has not examined the size of antibiotic packages prescribed. We assessed 2023 prescription rates in Barcelona and the most prescribed presentations in pharmacies, while evaluating potential reductions if all amoxicillin and amoxicillin/clavulanate containers had 20 doses. Methods. Antibiotics prescribed by primary care doctors working for the Catalonian Health Institute in Barcelona in 2023 were analysed by calculating the defined daily doses per 1,000 inhabitants and day (DID). Results. The observed prescribing rate was 8 DID, with penicillins accounting for 4.6 DID (57.2%). The most frequently prescribed antibiotics were amoxicillin and amoxicillin/clavulanate, making up 4.4 DID. If all the 30-dose presentations of amoxicillin and amoxicillin/clavulanate had been 20-dose containers, the total number of DIDs would have been 3.3, resulting in a reduction of 1.1 DID (25.4% less). Conclusions. Antibiotic prescribing rate in Barcelona was low. Aligning the dosage of antibiotics with established guidelines could further reduce antibiotic consumption. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción. No se ha analizado hasta ahora el tamaño de los envases antibióticos. Evaluamos el uso de antibióticos recetados en Barcelona en 2023. Además, evaluamos la posible reducción en su uso si los envases de amoxicilina y amoxicilina + ácido clavulánico prescritos contuvieran 20 dosis. Métodos. Se analizaron los antibióticos prescritos por los médicos de atención primaria en Barcelona pertenecientes al ICS en el año 2023, calculando la dosis diaria definida por 1000 habitantes y día (DHD). Resultados. El uso total fue de 8 DHD, correspondiendo a penicilinas 4,6 DHD (57,2%). Los antibióticos más prescritos fueron amoxicilina y amoxicilina + ácido clavulánico, representando 4,4 DHD. Si todas las presentaciones de 30 dosis hubieran sido de 20 dosis, el número total de DHD habría sido de 3,3, con una reducción de 1,1 DHD (25,4% menos). Conclusiones. El uso antibiótico en Barcelona fue bajo. Ajustar las dosis de antibióticos con las pautas establecidas podría reducir aún más su uso. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.37201/req/054.2024
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        Text: English
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      – SubjectFull: ANTIBIOTICS
        Type: general
      – SubjectFull: ANTIBACTERIAL agents
        Type: general
      – SubjectFull: PRIMARY care
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      – SubjectFull: DRUG prescribing
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      – SubjectFull: BARCELONA (Spain)
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      – TitleFull: Antibiotic use in Barcelona in 2023 in primary care and the potential reduction by adjusting box sizes to current guidelines.
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              Text: dic2024
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