Nationwide survey of hospital antibiotic stewardship programs in France

Autor: Céline Pulcini, Francesca Binda, J. ten Oever, Gianpiero Tebano, Jeroen Schouten, Marlies E J L Hulscher, M. C. Kallen
Přispěvatelé: Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), University of Milan, Service des maladies infectieuses et tropicales [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Sorbonne Université (SU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Pierre et Marie Curie - Paris 6 (UPMC), University of Amsterdam [Amsterdam] (UvA), Radboud University Medical Center [Nijmegen], Service des Maladies Infectieuses et Tropicales [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)
Rok vydání: 2020
Předmět:
medicine.medical_specialty
lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4]
Quality indicators
Computer-assisted web interviewing
Pharmacists
Nationwide survey
Institutional support
Bon usage des antibiotiques
Antimicrobial Stewardship
Hospital
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
Surveys and Questionnaires
Acute care
medicine
Humans
Practice Patterns
Physicians'
Implémentation
Implementation Science
Quality Indicators
Health Care
Antibiotic stewardship
0303 health sciences
030306 microbiology
business.industry
Medical record
Hôpitaux
Hospitals
Anti-Bacterial Agents
3. Good health
Stratified sampling
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
Cross-Sectional Studies
Infectious Diseases
Median time
Family medicine
Antibiotic Stewardship
Indicateurs qualité
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
France
Guideline Adherence
Health Facilities
business
Zdroj: Médecine et Maladies Infectieuses
Médecine et Maladies Infectieuses, Elsevier Masson, 2019, 50 (5), pp.414-422. ⟨10.1016/j.medmal.2019.09.007⟩
Médecine et Maladies Infectieuses, 50, 414-422
Médecine et Maladies Infectieuses, 50, 5, pp. 414-422
ISSN: 0399-077X
DOI: 10.1016/j.medmal.2019.09.007
Popis: International audience; OBJECTIVE: We aimed to evaluate the current state of antibiotic stewardship (ABS) in French public and private acute care hospitals.METHODS: We conducted a cross-sectional online questionnaire survey. The selection of participating hospitals was performed through a stratified random sampling procedure among all French public and private hospitals with acute care beds.RESULTS: 97/215 (45%) hospitals participated. A formal ABS program was implemented in 84% (80/95) of hospitals. A person officially in charge of this program (i.e., ABS program leader) was present in almost all participating hospitals (99%, 95/96) and s/he coordinated a multidisciplinary ABS team in 42% (40/96) of cases. The median time spent on ABS activities was 1.7, 1.6, and 0.8hours/week/100 acute care beds for infectious disease (ID) specialists, pharmacists, and microbiologists respectively; 27% (7/26) of ID specialists/other clinicians, 58% (15/26) of pharmacists, and 80% (16/20) of microbiologists received no salary support for the stewardship activities conducted as part of the team. Local guidelines (94%, 88/94), electronic medical records (85%, 80/94), and an antibiotic restriction policy (92%, 82/89) were implemented in almost all hospitals. Reports on antibiotic consumption and local resistance rates were available in 100% (91/91) and 84% (76/91) of hospitals, respectively.CONCLUSION: Despite the existence of national requirements, hospital ABS programs are not fully implemented in France, mainly because of inadequate institutional support and funding.
Databáze: OpenAIRE
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