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 ?]

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_0887FC8712AB
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
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 ?]
Journal
Revue medicale suisse
Author(s)
Vingerhoets S., Mueller Y., Pedrazzini B., Boillat-Blanco N., Lhopitallier L.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
11/05/2022
Peer-reviewed
Oui
Volume
18
Number
781
Pages
948-952
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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.
Keywords
Anti-Bacterial Agents/therapeutic use, Bacterial Infections/drug therapy, Biomarkers, Humans, Prescriptions, Primary Health Care, Respiratory Tract Infections/drug therapy
Pubmed
Create date
24/05/2022 8:50
Last modification date
21/11/2022 9:23
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