Prescription des antibiotiques guidée par les biomarqueurs en médecine de famille : CRP ou PCT ? [Biomarker-guided antibiotics prescription for lower respiratory tract infections in primary care : CRP or PCT ?]

Détails

Ressource 1Télécharger: RMS_781_948.pdf (175.05 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
ID Serval
serval:BIB_0887FC8712AB
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Prescription des antibiotiques guidée par les biomarqueurs en médecine de famille : CRP ou PCT ? [Biomarker-guided antibiotics prescription for lower respiratory tract infections in primary care : CRP or PCT ?]
Périodique
Revue medicale suisse
Auteur⸱e⸱s
Vingerhoets S., Mueller Y., Pedrazzini B., Boillat-Blanco N., Lhopitallier L.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
11/05/2022
Peer-reviewed
Oui
Volume
18
Numéro
781
Pages
948-952
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Lower respiratory tract infections are a frequent cause of excessive antibiotic prescription. The use of CRP and PCT has been evaluated by recent trials as a mean to assist antibiotic prescription. These studies suggest a safe reduction of antibiotic usage when prescription is guided by biomarkers. There is at the moment no evidence benefiting one of the biomarkers over the other, but a recent Swiss trial could suggest an added benefit for PCT. For now, PCT is less available, more expensive and not reimbursed. Democratization of its use, and/or clear thresholds for the use of CRP are additional ways that could participate to reduce excessive antibiotic prescription in primary care.
Mots-clé
Anti-Bacterial Agents/therapeutic use, Bacterial Infections/drug therapy, Biomarkers, Humans, Prescriptions, Primary Health Care, Respiratory Tract Infections/drug therapy
Pubmed
Création de la notice
24/05/2022 8:50
Dernière modification de la notice
21/11/2022 9:23
Données d'usage