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Perception of acceptable antibiotic stewardship strategies in outpatient settings

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.
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Submitted on : Wednesday, July 26, 2017 - 10:17:25 PM
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Mauffrey Violaine, Joëlle Kivits, Pulcini Céline, Jean-Marc Boivin. Perception of acceptable antibiotic stewardship strategies in outpatient settings. Médecine et Maladies Infectieuses, 2016, 46 (6), pp.285-293. ⟨10.1016/j.medmal.2016.06.006⟩. ⟨hal-01569533⟩



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