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Trends in pneumococcal carriage rates and antibiotic use in two childcare settings Impact of an intervention campaign



Trends in pneumococcal carriage rates and antibiotic use in two childcare settings Impact of an intervention campaign



Abstracts of the Interscience Conference on Antimicrobial Agents & Chemotherapy 43: 284



Background: Nasopharyngeal (NP) SP carriage was studied in children in group (GDC) or child minder (CM) daycare in January-March 1999, 2000 and 2002 in S-E France. A program to promote judicious antibiotic use in pediatric respiratory tract infections (PRTI) began in Autumn 2000. Trends in penicillin resistance (PDSP) and antibiotic use were compared. Methods: SP strains from NP aspirates from children in GDC and CM in 1999, 2000 and 2002 were tested for penicillin susceptibility. Parents documented antibiotic prescriptions over the previous 3 months. The intervention included academic detailing visits to all general practitioners and pediatricians and parent information. Regional surveillance data for PRTI were obtained for each period. Results: Average number of PRTI/physician: 2.33 in 98-99, 2.59 in 99-00 and 4.15 in 01-02 (p=0.04). Conclusions: SP and PDSP carriage and proportion of treated children were lower in CM settings. Antibiotic use decreased in both settings in 2002 despite a higher incidence rate of PRTI. Results favor pursuing the intervention program and promoting CM care.

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