Prevalence of antibiotic prescription in southern Italian outpatients: real-world data analysis of socioeconomic and sociodemographic variables at a municipality level

ClinicoEconomics and Outcomes Research : CEOR
Veronica RussoValentina Orlando

Abstract

The aim of this study was to analyze the geographic variation in systemic antibiotic prescription at a regional level and to explore the influence of socioeconomic and sociodemographic variables. This study was a retrospective analysis of reimbursement pharmacy records in the outpatient settings of Italy's Campania Region in 2016. Standardized antibiotic prescription rates were calculated at municipality and Local Health Unit (LHU) level. Antibiotic consumption was analyzed as defined daily doses (DDD)/1000 inhabitants per day (DID). Logistic regression was performed to evaluate the association between antibiotic prescription and sociodemographic and socioeconomic determinants at a municipality level. The average antibiotic prevalence rate was 46.8%. At LHU level, the age-adjusted prevalence rates ranged from 41.1% in Benevento to 51.0% in Naples2. Significant differences were found among municipalities, from 15.2% in Omignano (Salerno LHU [Sa-LHU]) to 61.9% in Moschiano (Avellino [Av-LHU]). The geographic distribution also showed significant differences in terms of antibiotic consumption, from 6.7 DID in Omignano to 41.6 in San Marcelino (Caserta [Ce-LHU]). Logistic regression showed that both municipality type and average ann...Continue Reading

Citations

Jan 10, 2019·The Journal of Antimicrobial Chemotherapy·Erika A Saliba-GustafssonCecilia Stålsby Lundborg
Jan 10, 2020·Expert Review of Anti-infective Therapy·Giulia BonaldoAlberto Vaccheri
May 10, 2020·International Journal of Environmental Research and Public Health·Silvia Portero de la Cruz, Jesús Cebrino
Jul 10, 2020·British Journal of Clinical Pharmacology·Agnese CanginiCarlo Gagliotti
Sep 29, 2020·Evolution, Medicine, and Public Health·Aida BiancoMaria Pavia
Jun 17, 2020·Frontiers in Pharmacology·Veronica RussoUNKNOWN EDU.RE.DRUG Group
Nov 20, 2020·Biomedicines·Theocharis KonstantinidisEugenia Bezirtzoglou
May 1, 2021·International Journal of Environmental Research and Public Health·Sara MucherinoAlexandra Prados-Torres
Nov 21, 2021·The International Journal of Health Planning and Management·Claire WillmingtonChiara Seghieri

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