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. 2020 May 5;10(5):e035343. doi: 10.1136/bmjopen-2019-035343

Table 5.

Antibiotic stewardship and AOM guidelines

Do guidelines provide diagnostic criteria? Do guidelines specify when to initiate antibiotics? Do guidelines specify route of administration? Do guidelines specify duration of antibiotic regimens? Do antibiotic recommendations refer to country-specific AMR patterns?
Percentage of antibiotic recommendations that refer to country-specific AMR patterns (%) Amoxicillin dosage that refers to country-specific AMR patterns Amoxicillin–clavulanic acid dosage that refers to country-specific AMR patterns
Belgium Yes Yes Yes Yes 80 Yes Yes
Czech Republic Yes Yes Yes Yes 0 Unclear Unclear
Denmark Yes Yes Yes Yes 0 Not applicable Unclear
Finland Yes Yes Yes Yes 63 Yes Yes
France Yes Yes Yes Yes 0 Unclear Unclear
Germany Yes Yes Yes Yes 0 Unclear Unclear
Ireland Unclear Yes Yes Unclear 0 Unclear Not applicable
Italy Yes Yes Yes Yes 67 Yes Yes
Luxembourg Yes Yes Yes Yes 0 Unclear Unclear
The Netherlands Yes Yes Yes Yes 100 Yes Yes
Norway Yes Yes Yes Yes 0 Unclear Not applicable
Poland Yes Yes Yes Yes 100 Yes Not applicable
Portugal Yes Yes Yes Yes 71 Yes Yes
Spain Yes Yes Yes Yes 100 Yes Yes
Sweden Yes Yes Yes Yes 100 Unclear Not applicable
Switzerland Unclear Yes Yes Yes 0 Unclear Unclear
UK Yes Yes Yes Yes 0 Unclear Unclear
USA Yes Yes Yes Yes 100 Yes Yes
WHO Yes Yes Yes Yes Not applicable Not applicable Not applicable
Legend
Promotes antibiotic stewardship
Partially promotes antibiotic stewardship
Does not promote antibiotic stewardship

AMR, antimicrobial resistance; AOM, acute otitis media.