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 patternsAmoxicillin–clavulanic acid dosage that refers to country-specific AMR patterns
BelgiumYesYesYesYes80YesYes
Czech RepublicYesYesYesYes0UnclearUnclear
DenmarkYesYesYesYes0Not applicableUnclear
FinlandYesYesYesYes63YesYes
FranceYesYesYesYes0UnclearUnclear
GermanyYesYesYesYes0UnclearUnclear
IrelandUnclearYesYesUnclear0UnclearNot applicable
ItalyYesYesYesYes67YesYes
LuxembourgYesYesYesYes0UnclearUnclear
The NetherlandsYesYesYesYes100YesYes
NorwayYesYesYesYes0UnclearNot applicable
PolandYesYesYesYes100YesNot applicable
PortugalYesYesYesYes71YesYes
SpainYesYesYesYes100YesYes
SwedenYesYesYesYes100UnclearNot applicable
SwitzerlandUnclearYesYesYes0UnclearUnclear
UKYesYesYesYes0UnclearUnclear
USAYesYesYesYes100YesYes
WHOYesYesYesYesNot applicableNot applicableNot applicable
Legend
Promotes antibiotic stewardship
Partially promotes antibiotic stewardship
Does not promote antibiotic stewardship
  • AMR, antimicrobial resistance; AOM, acute otitis media.