Author/Editor		Fuerst, Jurij
Title		Posebnosti predpisovanja antibiotikov v Sloveniji v primerjavi z nekaterimi drugimi državami
Translated title		Some aspects of Slovenian antibiotic prescribing in comparison with some other countries
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 40, št. 11-12
Publication year		2001
Volume		str. 373-5
Language		slo
Abstract		Antibiotics are one of the most prescribed group of drugs. In the 1996-99 period, antibiotic use in Slovenia increased by 34% whereas it was stable in Scandinavian countries. The consumption of macrolides and penicillins with beta-lactamase inhibitors (BLI) increased by 80% and quinolones by 50%. It was only aher Health Insurance Institute of Slovenia drew up prescribing guidelines for penicillins with BLI and quinolones in 2000, that a consumption decrease by 9,4% followed. The structure of prescribed antibiotics needs to be improved as well. Instead of narrow spectrum antibiotics, the broad-spectrum ones are being prescribed. Age-specific comparisons between Slovenia and Sweden show statistically significantdifferences in beta-lactam antibiotics prescribed to children under 75 and in macrolides prescribed to adults over 20. Following therapeutic guidelines, Slovenian doctors could decrease the volume of antibiotics and improve their prescribing habits.
Summary		Antibiotiki sodijo med najpogosteje predpisovana zdravila. V letih 1996-99 je prišlo v Sloveniji do visokega porasta rabe antibiotikov (za 34%), medtem ko je ostala poraba v skandinavskih državah na isti ravni. Najvišje rasti so dosegli makrolidi in penicilini z zaviralci betalaktamaz (za 80%) ter kinoloni:.(za 50%). Šele po priporočilih Zavoda za zdravstveno zavarovanje Slovenije za omejitev predpisovanja za peniciline z zaviralci betalaktamaz in kinolone v letu 2000 je prišlo do znižanja porabe za 9,4%. Tudi struktura predpisanih antibiotikov ni ugodna. Namesto antibiotikov ozkega spektra prevladujejo antibiotiki širokega spektra. V primerjavi porabe po starostnih skupinah med Slovenijo in Švedsko so največje, statistično značilne razlike pri predpisovanju otrokom do 15. leta za betalaktamske antibiotike in odraslim (nad 20. letom) za makrolide. Ob upoštevanju osnovnih smernic predpisovanja antibiotikov bi bilo možno znižati obseg in izboljšati kakovost predpisovanja.
Descriptors		ANTIBIOTICS PRESCRIPTIONS, DRUG INSURANCE, HEALTH DRUG UTILIZATION SLOVENIA AGE FACTORS ANTIBIOTICS, LACTAM ANTIBIOTICS, MACROLIDE