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March 1, 2002Emerging infectious diseasesOpen Access

The Relationship between Antimicrobial Use and Antimicrobial Resistance in Europe

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Authors

SBS L A M BronzwaerEuropean Food Safety AuthorityOCOtto CarsUppsala UniversityUBUdo BuchholzRobert Koch Institute

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Implication

Surveillance study reveals a correlation between outpatient antibiotic sales and penicillin resistance in Streptococcus pneumoniae, highlighting how antimicrobial overuse drives resistance.

Key Points

  • To examine the relationship between outpatient sales of beta-lactam antibiotics and macrolides and penicillin nonsusceptibility in invasive Streptococcus pneumoniae isolates across Europe.
  • Gathered 1998–1999 surveillance data on penicillin resistance in invasive isolates of Streptococcus pneumoniae from the European Antimicrobial Resistance Surveillance System (EARSS).
  • Collected 1997 national outpatient sales figures for beta-lactam antibiotics and macrolides across participating European countries.
  • Penicillin nonsusceptibility in invasive Streptococcus pneumoniae isolates positively correlated with outpatient sales of beta-lactam antibiotics across European nations.
  • Resistance of Streptococcus pneumoniae to penicillin also exhibited a positive correlation with outpatient macrolide use.

Cite This Study

Bronzwaer et al. (2002) studied this question.

synapsesocial.com/papers/6a82fb895123f2a1809c8442https://doi.org/10.3201/eid0803.010192
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Frequency of penicillin-resistant pneumococci in children is correlated to community utilization of antibiotics2000 · 110 citations
  2. 2Surveillance of Antimicrobial Use and Antimicrobial Resistance in United States Hospitals: Project ICARE Phase 21999 · 487 citations