Conclusions
In conclusion, we are only really at the start of learning how best to measure and monitor antibiotic consumption. Computer programmes are increasingly useful but computerised prescribing for the majority, allowing proper audit of quality of use is still on the distant horizon.
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References
Bager, F., 2000, DANMAP: Monitoring antimicrobial resistance in Denmark. Int. J. Antimicrob. Agents, 14, 271–274.
Cars, O., Mölstad, S., and Melander, A., 2001, Variation in antibiotic use in the European Union. Lancet, 357, 1851–1853.
Crowcroft, N. S., Ronveaux, O., Monnet, D. L., and Mertens, R., 1999, Methicillin-resistant Staphylococcus aureus and antimicrobial use in Belgian hospitals. Infect. Control Hosp. Epidemiol., 20, 31–36.
Eccles, M. and Grimshaw, J., November 1997, Common study design issues. Changing Professional Practice Newsletter. Available from: http://www.dsi.dk/projects/cpp/Newsletters/News-3.html.
Fridkin, S. K., Steward, C. D., Edwards, J. R., Pryor, E. R., McGowan, J. E. M. Jr., Archibald, L. K. et al., 1999, Surveillance of antimicrobial use and antimicrobial resistance in United States hospitals: Project ICARE phase 2. Clin. Infect. Dis., 29, 245–252.
Gastmeier, P., Sohr, D., Forster, D., Schulgen, G., Schumacher, M., Daschner, F. et al., 2000, Identifying outliers of antibiotic usage in prevalence studies on nosocomial infections. Infect. Control Hosp. Epidemiol., 21, 324–328.
Silber, J. L., Paul, S. M., Crane, G., Kupersmit, A., and Spitalny, K., 1994, Influence of hospital antibiotic policy and usage on the incidence of vancomycin-resistant enterococcal (VRE) bacteremia [abstract]. Infect. Control Hosp. Epidemiol., 15, 32.
Lopez-Lozano, J. M., Monnet, D. L., Yague, A., Burgos, A., Gonzalo, N., Campillos, P. et al., 2000, Modelling and forecasting antimicrobial resistance and its dynamic relationship to antimicrobial use: A time series analysis. Int. J. Antimicrob. Agents, 14, 21–31.
MacKenzie, F. M., Lopez-Lozano, J. M., Beyaert, A., Monnet, D., Camacho, M., Stuart, D. et al., 2004, The role of antimicrobial use in the Aberdeen MRSA outbreak 1996–2000. Emerg. Infect. Dis. (in press).
Mölstad, S., Lundborg, C. S., Karlsson, A.-K., and Cars, O., 2002, Antibiotic prescription rates vary markedly between 13 European countries. Scand. J. Infect. Dis., 34, 366–371.
Monnet, D. L., 2003, ABC Calc—Antibiotic Consumption Calculator [Microsoft Excel® Application]. Version 1.9. Statens Serum Institut, Copenhagen (Denmark).
Monnet, D. L., Lopez-Lozano, J. M., Campillos, P., Burgos, A., Yague, A., Gonzalo, N., 2001, Making sense of antimicrobial use and resistance surveillance data: application of ARIMA and transfer function models. Clin Microbiol Infect., 7(Suppl 5), 29–36. Review.
Monnet, D. L., Soerensen, T. L., and Johansen, H. L., 2000, Comparison of the level of antimicrobial use in hospitals and in primary health care, Denmark, 1997 [abstract]. Infect. Control Hosp. Epidemiol., 21, 91.
Ronning, M., Salvesen Blix, H., Harbo, B. T., and Strom, H., 2000, Different versions of the anatomical therapeutic chemical classification system and the defined daily dose—are drug utilisation data comparable? Eur. Clin. Pharmacol., 56, 723–727.
Ronning, M., Salvesen Blix, H., Strom, H., Skovlund, E., Anderson, M., and Vander Stichele, R., 2003, Problems in collecting coparable national drug use data in Europe: The example of antibacterials. Eur. J Clin. Pharmacol., 58, 843–849.
WHO Collaborating Centre for Drug Statistics Methodology (Norway), 2002a, Guidelines for ATC Classification and DDD Assignment. WHO Collaborating Centre, Oslo.
WHO Collaborating Centre for Drug Statistics Methodology (Norway), 2002b, ATC Index with DDDs. WHO Collaborating Centre, Oslo.
White, R. L., Friedrich, L. V., Mihm, L. B., and Bosso, J. A., 2000, Assessment of the relationship between antimicrobial usage and susceptibility: Differences between the hospital and specific patient-care areas. Clin. Infect. Dis., 31, 16–23.
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MacKenzie, F.M., Gould, I.M. (2005). Quantitative Measurement of Antibiotic Use. In: Gould, I.M., van der Meer, J.W.M. (eds) Antibiotic Policies. Springer, Boston, MA. https://doi.org/10.1007/0-387-22852-7_7
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