Friis H, Vejlsgaard R
Klinisk mikrobiologisk afdeling, Centralsygehuset i Slagelse.
Dan Med Bull. 1993 Mar;40(1):125-7.
The use of antibiotics is increasing with increasing ecological and economic problems as a consequence. In Denmark, antibiotics are prescribed by doctors and in order to intervene, it is important to know details about prescription habits. Danish patients are referred to specialists by their general practitioner when further investigation or treatment is needed. In one week in 1988, 180 specialists (60%) participated in a study registering all prescriptions made by these specialists. Only 3.2 patients per specialist were treated with antibiotics. The infections were mainly of the upper respiratory tract, the skin, or gynecological. The prescribed daily dosages (PDD) did not differ from those given by the general practitioners, but the specialists used significantly less penicillin and significantly more erythromycin, tetracycline or local antibiotics. Compared with the general practitioners the specialists in Denmark only prescribed approximately 10% of the total amount of antibiotics used outside the hospitals. Their contribution to the potential ecological and economic problems caused by antibiotics in Denmark is limited.
随着生态和经济问题的日益增加，抗生素的使用也在增加。在丹麦，抗生素由医生开处方，为了进行干预，了解处方习惯的细节很重要。丹麦患者在需要进一步检查或治疗时由他们的全科医生转诊给专科医生。1988年的一周内，180名专科医生（60%）参与了一项研究，记录这些专科医生开出的所有处方。每位专科医生仅治疗3.2名使用抗生素的患者。感染主要发生在上呼吸道、皮肤或妇科。规定的每日剂量（PDD）与全科医生开出的剂量没有差异，但专科医生使用的青霉素明显较少，而红霉素、四环素或局部抗生素明显较多。与全科医生相比，丹麦的专科医生开出的抗生素仅占医院外使用的抗生素总量的约10%。他们对丹麦抗生素造成的潜在生态和经济问题的影响有限。
