M Giry1, C Pulcini2, C Rabaud3, J M Boivin4, V Mauffrey5, J Birgé6. 1. Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Département de médecine générale, faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Forêt-de-Haye, BP 184, 54505 Vandœuvre-Lès-Nancy cedex, France. Electronic address: marianneg86@aol.fr. 2. Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Service de maladies infectieuses, CHU de Nancy, hôpitaux de Brabois, allée du Morvan, 54511 Vandœuvre-Lès-Nancy cedex, France; EA 4360 APEMAC, université de Lorraine, université Paris-Descartes, 9, avenue de la Forêt-de-Haye, CS 50184, 54505 Vandœuvre-lès-Nancy cedex, France. 3. Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Service de maladies infectieuses, CHU de Nancy, hôpitaux de Brabois, allée du Morvan, 54511 Vandœuvre-Lès-Nancy cedex, France. 4. Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Département de médecine générale, faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Forêt-de-Haye, BP 184, 54505 Vandœuvre-Lès-Nancy cedex, France; CIC-P Inserm, CHU de Nancy, Hôpital Brabois, bâtiment Louis-Mathieu, 54500 Vandœuvre-Lès-Nancy, France. 5. Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Département de médecine générale, faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Forêt-de-Haye, BP 184, 54505 Vandœuvre-Lès-Nancy cedex, France; EA 4360 APEMAC, université de Lorraine, université Paris-Descartes, 9, avenue de la Forêt-de-Haye, CS 50184, 54505 Vandœuvre-lès-Nancy cedex, France. 6. Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France.
Abstract
OBJECTIVE: We aimed to assess the acceptability of antibiotic stewardship measures by family physicians. MATERIAL AND METHODS: We conducted an online cross-sectional survey in 2015 with a sample of family physicians practicing in a specific French region. RESULTS: Overall, 283 of 1171 family physicians (24%) completed the questionnaire. Decision-support tools for antibiotic prescribing and educational measures were well accepted by family physicians: 71% strongly agreed with a free distribution of urine dipstick tests and 54% with incentives to participate in antibiotic training sessions. Almost all family physicians did not agree with restrictive measures: 68% were for instance opposed to having to justify the prescription's compliance with guidelines on the prescription itself. Physicians also did not agree with restrictive measures when they only applied to physicians prescribing many antibiotics. CONCLUSION: Participants were probably the most motivated and aware of the topic physicians, but they were particularly hostile to the introduction of restrictive measures related to antibiotic prescribing. Our survey was conducted with a large sample of family physicians and could help orientate our country's antibiotic stewardship policy. However, family physicians are likely to oppose any measure aiming at restricting their freedom of prescription.
OBJECTIVE: We aimed to assess the acceptability of antibiotic stewardship measures by family physicians. MATERIAL AND METHODS: We conducted an online cross-sectional survey in 2015 with a sample of family physicians practicing in a specific French region. RESULTS: Overall, 283 of 1171 family physicians (24%) completed the questionnaire. Decision-support tools for antibiotic prescribing and educational measures were well accepted by family physicians: 71% strongly agreed with a free distribution of urine dipstick tests and 54% with incentives to participate in antibiotic training sessions. Almost all family physicians did not agree with restrictive measures: 68% were for instance opposed to having to justify the prescription's compliance with guidelines on the prescription itself. Physicians also did not agree with restrictive measures when they only applied to physicians prescribing many antibiotics. CONCLUSION:Participants were probably the most motivated and aware of the topic physicians, but they were particularly hostile to the introduction of restrictive measures related to antibiotic prescribing. Our survey was conducted with a large sample of family physicians and could help orientate our country's antibiotic stewardship policy. However, family physicians are likely to oppose any measure aiming at restricting their freedom of prescription.
Authors: Grace C Mortrude; Mary T Rehs; Katherine A Sherman; Nathan D Gundacker; Claire E Dysart Journal: Open Forum Infect Dis Date: 2021-12-11 Impact factor: 3.835