V Mauffrey1, J Kivits2, C Pulcini3, J M Boivin4. 1. Département de médecine générale, université de Lorraine, faculté de médecine, 54000 Nancy, France; École de santé publique, université de Lorraine, faculté de médecine, 54000 Nancy, France; ANTIBIOLOR, CHU de Nancy, réseau Lorrain d'antibiologie, 54000 Nancy, France. Electronic address: vmauffrey@hotmail.fr. 2. École de santé publique, université de Lorraine, faculté de médecine, 54000 Nancy, France; Épidémiologie et évaluation cliniques, CHU de Nancy, pôle QSP2, 54000 Nancy, France; EA4360 APEMAC, université de Lorraine, université Paris Descartes, 54000 Nancy, France. 3. ANTIBIOLOR, CHU de Nancy, réseau Lorrain d'antibiologie, 54000 Nancy, France; EA4360 APEMAC, université de Lorraine, université Paris Descartes, 54000 Nancy, France; Service de maladies infectieuses et tropicales, CHU de Nancy, 54000 Nancy, France. 4. Département de médecine générale, université de Lorraine, faculté de médecine, 54000 Nancy, France; ANTIBIOLOR, CHU de Nancy, réseau Lorrain d'antibiologie, 54000 Nancy, France; CIC-P Inserm, CHU de Nancy, 54000 Nancy, France.
Abstract
INTRODUCTION: Antibiotics are still often inappropriately prescribed in France despite specific measures being taken for over 10years. The 25% decrease in antibiotic prescription advocated in the 2011-2016 National Antibiotic Plan seems difficult to achieve. One of the strategies currently considered in France is the use of a specific prescription form dedicated to antibiotics, with an educational message for patients. We aimed to evaluate the acceptability - by primary care prescribers - of this measure and to evaluate their perception of other antibiotic stewardship strategies. METHODS: Qualitative study conducted among family physicians, pediatricians, dermatologists, dentists, and ENT specialists using semi-structured interviews. A thematic and framework analysis was then performed. RESULTS: Thirty prescribing physicians practicing in a specific region of France were included in the study. The dedicated prescription form for antibiotics was deemed excessive and questionable. Other measures, not directly targeting prescribers, were rather well perceived: the unit sales of antibiotics, the restricted reporting of susceptibility tests, or the limitation of the number of molecules available in outpatient settings. CONCLUSION: The results of this exploratory study may guide the national antibiotic stewardship policy in France.
INTRODUCTION: Antibiotics are still often inappropriately prescribed in France despite specific measures being taken for over 10years. The 25% decrease in antibiotic prescription advocated in the 2011-2016 National Antibiotic Plan seems difficult to achieve. One of the strategies currently considered in France is the use of a specific prescription form dedicated to antibiotics, with an educational message for patients. We aimed to evaluate the acceptability - by primary care prescribers - of this measure and to evaluate their perception of other antibiotic stewardship strategies. METHODS: Qualitative study conducted among family physicians, pediatricians, dermatologists, dentists, and ENT specialists using semi-structured interviews. A thematic and framework analysis was then performed. RESULTS: Thirty prescribing physicians practicing in a specific region of France were included in the study. The dedicated prescription form for antibiotics was deemed excessive and questionable. Other measures, not directly targeting prescribers, were rather well perceived: the unit sales of antibiotics, the restricted reporting of susceptibility tests, or the limitation of the number of molecules available in outpatient settings. CONCLUSION: The results of this exploratory study may guide the national antibiotic stewardship policy in France.
Authors: Sara C Keller; Pranita D Tamma; Sara E Cosgrove; Melissa A Miller; Heather Sateia; Julie Szymczak; Ayse P Gurses; Jeffrey A Linder Journal: J Am Board Fam Med Date: 2018 May-Jun Impact factor: 2.657
Authors: Charlotte Z Woods-Hill; Anping Xie; John Lin; Heather A Wolfe; Alex S Plattner; Sara Malone; Kathleen Chiotos; Julia E Szymczak Journal: JAC Antimicrob Resist Date: 2022-01-22
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