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Antibiotic Sales in Primary Care in Hubei Province, China: An Analysis of 2012–2017 Procurement Records

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  • Xinping Zhang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

  • Youwen Cui

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

  • Chaojie Liu

    (School of Psychology and Public Health, La Trobe University, Melbourne, VIC 3086, Australia)

  • Keyuan Zuo

    (Department of Pharmaceuticals Bidding and Procurement, Hubei Public Resource Trading Center, Wuhan 430030, China)

  • Yuqing Tang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

Abstract

The over-use of antibiotics has been identified as a major global challenge, where there is insufficient knowledge about the use of antibiotics in primary healthcare settings, especially at a population level. This study aims to investigate the trends and patterns of antibiotic sales in primary care in Hubei, China over a six-year period from 2012 to 2017. Antibiotic sales were expressed with Defined Daily Doses per 1000 inhabitants per day (DIDs) and compared with European countries using the 12 quality indicators proposed by the scientific advisory board of the European Surveillance of Antimicrobial Consumption (ESAC) project. Antibiotic sales increased from 12.8 DID in 2012 to 15.3 DID in 2013, and then declined afterwards. The most commonly used antibiotics, J01C (beta-lactam antimicrobials, penicillins), accounted for 40.5% of total antibiotic sales. Parenteral administration of antibiotics accounted for over 50% of total antibiotic sales. Total antibiotic sales were almost on a par with the 31 European countries monitored by the ESAC project, but cephalosporin sales were higher than at least three quarters of the compared countries, resulting in a significant higher proportion of third-generation cephalosporin consumption (13.8–19.43%). The relative consumption of Fluoroquinolone (9.26–9.89%) was also higher than at least half of the compared countries. There is a lack of robust evidence to show that antibiotic consumption in primary care is lower in Hubei compared with other countries. The preference of clinicians in China to use broad-spectrum and parenteral antibiotics deserves further study and policy attention.

Suggested Citation

  • Xinping Zhang & Youwen Cui & Chaojie Liu & Keyuan Zuo & Yuqing Tang, 2019. "Antibiotic Sales in Primary Care in Hubei Province, China: An Analysis of 2012–2017 Procurement Records," IJERPH, MDPI, vol. 16(18), pages 1-13, September.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3376-:d:266597
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    References listed on IDEAS

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    1. Mingsheng Chen & Lijie Wang & Wen Chen & Luying Zhang & Hongli Jiang & Wenhui Mao, 2014. "Does Economic Incentive Matter for Rational Use of Medicine? China’s Experience from the Essential Medicines Program," PharmacoEconomics, Springer, vol. 32(3), pages 245-255, March.
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    Cited by:

    1. Wenchen Liu & Ali Hassan Gillani & Sen Xu & Chen Chen & Jie Chang & Caijun Yang & Wenjing Ji & Minghuan Jiang & Mingyue Zhao & Yu Fang, 2020. "Antibiotics (Macrolides and Lincosamides) Consumption Trends and Patterns in China’s Healthcare Institutes. Based on a 3 Year Procurement Records, 2015–2017," IJERPH, MDPI, vol. 18(1), pages 1-9, December.
    2. Sen Xu & Shengfang Yuan & John Alimamy Kabba & Chen Chen & Wenchen Liu & Jie Chang & Yu Fang, 2020. "Analysis of Antibiotic Use Patterns and Trends Based on Procurement Data of Healthcare Institutions in Shaanxi Province, Western China, 2015–2018," IJERPH, MDPI, vol. 17(20), pages 1-13, October.

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