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Nationwide survey of hospital antibiotic stewardship programs in France.

Authors
  • Binda, F1
  • Tebano, G2
  • Kallen, M C3
  • Ten Oever, J4
  • Hulscher, M E5
  • Schouten, J A6
  • Pulcini, C7
  • 1 Université de Lorraine, APEMAC, 54000 Nancy, France; Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy. Electronic address: [email protected] , (France)
  • 2 Department of Infectious Diseases, Pitié-Salpêtrière Hospital, AP-PH, Paris, France; Institut Pierre-Louis d'épidémiologie et de santé publique (IPLESP UMRS 1136), UPMC université Paris 06, INSERM, Sorbonne University, Paris, France. , (France)
  • 3 Department of Internal Medicine, division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, 9, Meibergdreef, Amsterdam, The Netherlands. , (Netherlands)
  • 4 Department of Internal Medicine, Radboud university medical center, Nijmegen, The Netherlands; Radboud Center for Infectious Diseases, Nijmegen, The Netherlands. , (Netherlands)
  • 5 Radboud Center for Infectious Diseases, Nijmegen, The Netherlands; Scientific Center for Quality of Healthcare (IQ healthcare), Radboud university medical center, Nijmegen, The Netherlands. , (Netherlands)
  • 6 Radboud Center for Infectious Diseases, Nijmegen, The Netherlands; Scientific Center for Quality of Healthcare (IQ healthcare), Radboud university medical center, Nijmegen, The Netherlands; Department of Intensive care Medicine, Radboud university medical center, Nijmegen, The Netherlands. , (Netherlands)
  • 7 Université de Lorraine, APEMAC, 54000 Nancy, France; Infectious Diseases Department, CHRU-Nancy, Université de Lorraine, 54000 Nancy, France. , (France)
Type
Published Article
Journal
Medecine et maladies infectieuses
Publication Date
Aug 01, 2020
Volume
50
Issue
5
Pages
414–422
Identifiers
DOI: 10.1016/j.medmal.2019.09.007
PMID: 31575446
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

We aimed to evaluate the current state of antibiotic stewardship (ABS) in French public and private acute care hospitals. 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. 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. Despite the existence of national requirements, hospital ABS programs are not fully implemented in France, mainly because of inadequate institutional support and funding. Copyright © 2019. Published by Elsevier Masson SAS.

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