Feron J M, Legrand D, Pestiaux D, Tulkens P
Centre académique de médecine générale, université catholique de Louvain, tour Pasteur 5360, 53, avenue Mounier, 1200 Bruxelles, Belgique.
Pathol Biol (Paris). 2009 Feb;57(1):61-4. doi: 10.1016/j.patbio.2008.07.002. Epub 2008 Oct 9.
The mechanisms that might explain the antibiotic use in ambulatory practices go widely beyond microbiology and epidemiology. Sociocultural factors (help-seeking behaviour) and structural factors (liberal fee-for system), similar in France and Belgium, explain how an inappropriate health demand and an inappropriate supply are supporting each other, to keep the two countries high in European ranking. Beyond these collective factors of antibiotic use, the general practitioners' individual responsibility is also discussed.