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• W1997566719 abstract "La bonne prescription des antibiotiques ne devrait se faire que sur des critères objectifs faisant appel à la science. Une infection précise dûment diagnostiquée nécessite la prescription d'un traitement antibiotique dont la nature, la voie d'administration, la posologie, la durée sont rigoureusement décidés. Or, on constate chaque jour que la prescription réelle est aussi sous la dépendance de déterminants non pharmacologiques en rapport avec le comportement des prescripteurs. Les risques d'un comportement irrationnel, s'éloignant de la rigueur pharmacologique sont : un diagnostic pas ou mal établi, un malade préoccupant mais au profil de gravité insuffisamment ciblé, un médecin anxieux au savoir insuffisant. Sont ainsi réalisés les déterminants d'une prescription de précaution, en général maximaliste, souvent inadaptée et fréquemment injustifiée. Il y a trois voies pour améliorer la rigueur de la prescription des antibiotiques. Améliorer la qualité du diagnostic et l'évaluation du terrain. Améliorer la formation à l'université, puis dans le cadre d'une formation continue indispensable dans un domaine où l'industrie pharmaceutique joue un rôle important quand il n'est pas exclusif. Recourir à des systèmes de contrôle : aide à la prescription, application des recommandations et protocoles thérapeutiques, intervention plus importante des spécialistes d'infectiologie. Appropriate antibiotic prescriptions should rely on scientific objective criteria. Theoretically, every infection is expected to be accurately diagnosed and treated using antimicrobials with strictly determined type, administration mode, dosage, and length of treatment. Actually, every day brings evidence that antibiotic prescriptions are often ruled by non-scientific factors linked to the physician's behavior. Irrational prescriptions, far from scientific rigor, result from a lack of or a poor diagnosis, insufficiently documented severity of illnesses, the anxiety of physicians whose knowledge of antibiotic use is often limited. These 3 trends bring to overcautious, over-prescriptions, most of the time inappropriate and unjustified. Reaching better standards in antibiotic use entails improving diagnosis skill and evaluation of the patient's status and illness, under and post-graduate education programs in which the pharmaceutical firms play an important part, development of paper/software aids to prescription, guidelines and rules for treatment and audit of prescription habits by infectious disease experts." @default.
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• W1997566719 date "2003-01-01" @default.
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• W1997566719 title "Quels sont les déterminants des comportements des prescripteurs d'antibiotiques ?" @default.
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