Gaardbo Kuhn Katrin, Hammerum Anette M, Jensen Ulrich S
From the Antimicrobial Resistance Reference Laboratory and Surveillance Unit, Department of Microbiology and Infection Control, Statens Serum Institut , Copenhagen , Denmark.
Scand J Infect Dis. 2014 Aug;46(8):599-604. doi: 10.3109/00365548.2014.912347. Epub 2014 May 16.
From 2001 to 2010, the consumption of antibiotics in Denmark increased by 32%. The objective of this study was to investigate the potential demographic factors associated with this increase. Defined daily doses (DDD) per 1000 inhabitant-days for the leading antibiotic groups and substances in primary health care in 2001 and 2010 were adjusted for population size and compared between and within age groups and genders. An increased antibiotic consumption was observed for all age groups between 2001 and 2010. Particular age-specific increases in the consumption of tetracyclines, extended-spectrum penicillins, and amoxicillin/clavulanic acid were observed. The generally increased consumption of antibacterial agents in the Danish population during the past decade was driven by people older than 65 y and, to a lesser extent, those aged 20-39 y. Evidence suggests that this increase may reflect general practitioners prescribing more antibiotics per visit and in larger doses.
2001年至2010年期间,丹麦的抗生素消费量增长了32%。本研究的目的是调查与这一增长相关的潜在人口统计学因素。针对2001年和2010年初级卫生保健中主要抗生素类别和药物的每1000居民日限定日剂量(DDD),根据人口规模进行了调整,并在不同年龄组和性别之间及组内进行了比较。2001年至2010年期间,所有年龄组的抗生素消费量均有所增加。观察到四环素、广谱青霉素和阿莫西林/克拉维酸的消费量在特定年龄组中尤其增加。过去十年丹麦人群抗菌药物总体消费量的增加是由65岁以上人群推动的,20至39岁人群的推动作用较小。有证据表明,这种增加可能反映了全科医生每次就诊时开具的抗生素更多、剂量更大。