How are antibiotics currently prescribed in Switzerland?
For example, even though they may not be indicated by the clinical evidence:
• fluoroquinolones are prescribed in more than 20 percent of all urinary tract infections.
• in acute bronchitis (44 percent of prescriptions for lower respiratory tract infections), antibiotics are still always prescribed.
In paediatrics today, around 85 percent of antibiotics are prescribed in the outpatient setting. The prescribing practice shows that there is still potential for improvement when it comes to selecting antibiotics:
• Around 80 percent of antibiotic prescriptions for children are for respiratory tract infections. The recommended (simple) penicillins or aminopenicillins are not always used in these cases.
• Macrolides, which have a problematic profile as regards selection of resistance, are probably used too often for treating respiratory tract infections.