Appropriateness of Antibiotic Prescription During Teleconsultation

Melot, B.; Amsilli, M.; Drouet, Florian; Rodriguez, L.; Salomon, J.; Grosjean, Julien; Duclos, C.

doi:10.3233/shti220924

Cited by 2 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We used data from the Qare ® platform, a national private direct-to-consumer French telemedicine platform that ranks second in volume of teleconsultations conducted in France. 17 Qare ® provides access to all patients, regardless of their health insurance coverage, and is available for all private doctors and hospital practitioners across the entire French territory. Qare ® offers both acute care teleconsultations and follow-up visits.…”

Section: Methodsmentioning

confidence: 99%

Paediatric antibiotic prescribing in a nationwide direct-to-consumer telemedicine platform in France, 2018–2021

Melot,

Launay,

Drouet

et al. 2024

JAC-Antimicrobial Resistance

View full text Add to dashboard Cite

Background Recent regulatory and reimbursement changes facilitated the development of teleconsultation within primary care. French guidance advises against antibiotic prescribing in children in teleconsultation. We assessed paediatric antibiotic prescribing on a French teleconsultation platform. Methods This cross-sectional observational study analysed paediatric (0–14 years) visits on a national direct-to-consumer teleconsultation platform between January 2018 and December 2021. Teleconsultations with complete information regarding diagnosis (ICD-10 coding) and prescriptions were included. We assessed antibiotic prescription rates per 100 visits across diagnoses and used logistic regression to identify factors associated with antibiotic prescribing. Results In the 37 587 included paediatric teleconsultations (median age 3 years) performed by 713 general practitioners (GPs) and 89 paediatricians, antibiotics were prescribed for 12.1%. Respiratory tract infections (RTIs) accounted for 49.5% of antibiotic prescriptions. Antibiotic prescription rates per 100 visits were: sinusitis, 69.5%; urinary tract infections, 62.2%; pharyngitis, 59.0%; pneumonia, 45.5%; otitis, 46.6%; bronchitis, 19.6%; rhinitis, 11.6%; bronchiolitis 6.6%. Antibiotic prescription rates were higher in GPs than paediatricians [OR 2.21 (IC95% 2.07–2.35)], among physicians aged 45–54 and over 65 [OR 1.66 (1.48–1.85) and 1.48 (1.32–1.66), respectively], in female practitioners [OR 1.13 (1.05–1.21)], in children 3–6 years old [OR 1.41 (1.28–1.56)] and over 6 [OR 1.50 (1.35–1.66)], during winter [OR 1.28 (1.21–1.37)] and for RTIs [OR 1.99 (1.87–2.10)]. Antibiotic prescription rates were lower in doctors with extensive experience in teleconsultation [OR 0.92 (0.86–0.98)]. Conclusions Despite current recommendations, paediatric patients were frequently prescribed antibiotics during acute care teleconsultations. Specific antibiotic stewardship campaigns should target paediatric teleconsultations.

show abstract

Section: Methodsmentioning

confidence: 99%

Paediatric antibiotic prescribing in a nationwide direct-to-consumer telemedicine platform in France, 2018–2021

Melot,

Launay,

Drouet

et al. 2024

JAC-Antimicrobial Resistance

View full text Add to dashboard Cite

show abstract

“…ICD10 classification is widely used to code morbidity. On the French Qare teleconsultation platform, less than 20% of conclusions are available with an associated ICD10 code [3]. Many semi-automatic ICD10 coding systems have been developed with good performances [4].…”

Section: Introductionmentioning

confidence: 99%

Automated ICD10-Coding of Teleconsultations Conclusions in Primary Care

Melot,

Drouet,

Alvarez

et al. 2023

Telehealth Ecosystems in Practice

View full text Add to dashboard Cite

The national teleconsultation platform Qare offers a promising tool to collect data in primary care by sharing the same EHR among teleconsultants. Conclusions for every teleconsultation are thus collected by a text using an ICD10 code or not. Nevertheless, the use of the ICD10 classification by primary care doctors is scarce. We developed an algorithm based on bags of words that associates an ICD10 code for each textual conclusion and evaluated it. It shows good performances (88 to 89% concordance) to assign ICD10 category. It could be used to enhance the volume of coded teleconsultations ready to be reused.

show abstract

Appropriateness of Antibiotic Prescription During Teleconsultation

Cited by 2 publications

References 13 publications

Paediatric antibiotic prescribing in a nationwide direct-to-consumer telemedicine platform in France, 2018–2021

Paediatric antibiotic prescribing in a nationwide direct-to-consumer telemedicine platform in France, 2018–2021

Automated ICD10-Coding of Teleconsultations Conclusions in Primary Care

Contact Info

Product

Resources

About