[Fosfomycin prescription during production shortage]

Med Mal Infect. 2008 Jul;38(7):383-6. doi: 10.1016/j.medmal.2008.03.002. Epub 2008 Jun 11.
[Article in French]

Abstract

The supply of fosfomycin had to be carefully controlled over metropolitan France during 10 weeks because of a unique crisis in production. Three hundred and forty prescriptions were collected and re-examined by an expert committee. The main indications were osteoarthritis (27%), lung infections (21%), severe sepsis (12.5%), and urinary tract infections (11%). The main bacteria involved, often multidrug resistant, were Pseudomonas aeruginosa (40%) and methicillin-resistant Staphylococcus. A careful analysis of the antibiogram proved fosfomycin to be irreplaceable in 36% of the cases. This study confirms and specifies the interest of fosfomycin. To our knowledge, this study was a unique opportunity to collect such specific data from the whole of France over a two-month shortage period.

Publication types

  • English Abstract

MeSH terms

  • Anti-Infective Agents / therapeutic use*
  • Drug Prescriptions / statistics & numerical data*
  • Equipment and Supplies, Hospital / statistics & numerical data*
  • Fosfomycin / therapeutic use*
  • Humans
  • Lung Diseases / drug therapy
  • Medically Underserved Area
  • Methicillin Resistance
  • Osteoarthritis / drug therapy
  • Sepsis / drug therapy
  • Staphylococcal Infections / drug therapy

Substances

  • Anti-Infective Agents
  • Fosfomycin