Impact of the French Infectious Diseases Society's (SPILF) proposals for shorter antibiotic therapies.
Med Mal Infect
; 49(6): 456-462, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-31351803
ABSTRACT
OBJECTIVE:
To compare the practices of French infection specialists related to antibiotic therapy duration between 2016 and 2018.METHODS:
We conducted two identical surveys (in 2016 and 2018) targeting hospital-based infection specialists (medical physicians, pharmacists) who gave at least weekly advice on antibiotic prescriptions. The questionnaire included 15 clinical vignettes. Part A asked about the durations of antibiotic therapies they would usually advise to prescribers, and part B asked about the shortest duration they would be willing to advise for the same clinical situations.RESULTS:
We included 325 specialists (165 in 2016 and 160 in 2018), mostly infectious disease specialists (82.4%, 268/325), members of antibiotic stewardship teams in 72% (234/325) of cases. Shorter antibiotic treatments (as compared with the literature) were advised to prescribers in more than half of the vignettes by 71% (105/147) of respondents in 2018, versus 46% (69/150) in 2016 (P<0.001). Guidelines used by participants displayed fixed durations for 77% (123/160) of cases in 2018 versus 21% (35/165) in 2016. Almost all respondents (89%, 131/160) declared they were aware of the 2017 SPILF's proposal.CONCLUSION:
The release of guidelines promoting shorter durations of antibiotic therapy seems to have had a favourable impact on practices of specialists giving advice on antibiotic prescriptions.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sociedades Médicas
/
Padrões de Prática Médica
/
Guias de Prática Clínica como Assunto
/
Fidelidade a Diretrizes
/
Infectologia
/
Gestão de Antimicrobianos
/
Antibacterianos
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Med Mal Infect
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
França