To our knowledge, the database we have gathered is unique. The material analyzed corresponds to the various routes by which reimbursement for antibiotics could be requested from these insurers, who represent circa 90% of the French population. These include: the specialty of the practitioner who prescribed the antibiotic, the CIP (“Club Inter-Pharmaceutique”) code of the antimicrobial agent which is a unique code for the drug presentation, the number of boxes delivered, the prescription and delivery dates, the gender, the year of birth, the geographic location (department, a French administrative area) and the health insurance system of the person to whom the antibiotic was prescribed. From 2006 onwards, reimbursements of a single individual can be retrieved within the database.
Research issues arise on (a) the frequency of individual exposures to antibiotics, with some groups of the population possibly consuming few antibiotics compared to others; (b) the recurrence of antibiotics taken at extreme ages of life; (c) the link between consumption and comorbidities, etc.
- Philippe Tuppin, CNAMTS