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French people still consume too many antibiotics, despite progress



Hexagon remains one of the worst students in Europe: it is the third European country where antibiotic consumption is the highest, behind Greece and Cyprus.

Following an increase between 2014 and 2016, consumption of antibiotics in France stabilizes – even decreases – but is still too high, according to an official report published on Monday, November 18, on the occasion of the World Week for Good Use of Antibiotics. It aims to warn of antimicrobial resistance (the fact that some bacteria eventually become resistant to antibiotics), which the world's health authorities consider a major threat.

The estimate of Public Health Agency France refers to antibiotics prescribed in the city (excluding hospitals), or 93% of total consumption. It is based on two indicators: the number of doses consumed and the number of prescriptions. Antibiotic consumption in urban medicine in 201

8 was 22.5 doses per 1,000 inhabitants per day, compared with 22.7 in 2009. Based on the number of prescriptions, the report shows that consumption of Antibiotics fell by 15% between 2009 and 2018. This was from 2.81 to 2.38 per 1,000 inhabitants per day.

However, France is still one of the worst students in Europe. Antibiotic consumption is highest, behind Greece and Cyprus. If we add city and hospital, "France is 25.3 doses per 1,000 inhabitants per day, but the European average is 19.8" explains AFP Bruno Coignard, Head of Infectious Diseases at Public Health France . Top-performing country, "The Netherlands is 9.7" says the doctor. According to the report "health insurance could save EUR 400 million if French consumption was the same as the Netherlands" .

How to explain this French specificity, which remains despite the recommendations? Bruno Coignard responds "to the practice and history of the drug method that varies between countries" . In France "care is very much based on treatment: a patient is waiting for an order at the end" of a consultation, he analyzes. "Habits are hard to change" adds Dr. Gabriel Birgand. According to Bruno Coignard, "the challenge is not only to prescribe less, but better" by thinking about the choice of the type of antibiotic or "the duration of treatment, which may be Lesser" .


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