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Comment & Response
May 2015

Overuse of Antibiotics in Primary Health Care: A Practitioner- or Patient-Induced Problem?

Author Affiliations
  • 1Private Family Practice Unit in Heraklion, Crete, Greece
  • 2Primary Health Care Centre of Kissamos, Chania, Crete, Greece
  • 3Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece
JAMA Intern Med. 2015;175(5):863. doi:10.1001/jamainternmed.2015.118

To the Editor Antibiotic resistance secondary to medical misuse represents a worldwide phenomenon with far-reaching ramifications. Thus, we read with interest the study by Wang and colleagues1 describing trends of antibiotic overuse and misuse across primary health care (PHC) settings in China. According to the authors, up to 93% of respiratory tract infections (RTIs) were treated with antibiotics, with more than 6 of 10 prescriptions reported as inappropriate.1 Inadequate education and training of PHC personnel were also among the key findings.

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