Perceptions, attitudes, and practices of French junior physicians regarding antibiotic use and resistance

Levin, Cheri Wyron; Thilly, Nathalie; Doušak, May; Béraud, Guillaume; Klesnik, M; Uhan, Samo; Nathwani, Dilip; Beović, Bojana; Pulcini, Céline

doi:10.1016/j.medmal.2018.09.003

Cited by 16 publications

(8 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Education: It is clear that no antimicrobial stewardship program can be successful without education. The lack of education on the prescription of antibiotics and the issue of antimicrobial resistance during undergraduate or medical specialty training has been previously emphasized in France and other countries [63][64][65][66][67]. The results of this survey confirm post-graduate education as a determining factor in the prescribing habits of dentists and suggest that practitioners, particularly those who have been in practice for a long time, should be made more aware of the need to improve their practices in the prescription of antibiotics for periodontal therapy.…”

mentioning

confidence: 99%

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Agossa

Mainville

et al. 2021

Antibiotics

View full text Add to dashboard Cite

The aim of the present survey is to investigate the use of antibiotics during periodontal therapy among French dentists with a focus on exploring potential differences between various groups of practitioners. A self-administered questionnaire was distributed to different groups of practitioners including members of (i) the French Society of Periodontology and Implantology; (ii) the College of University Teachers in Periodontology and, (iii) private practitioners participating in the French general dental practice-based research network. 272 questionnaires were included in the analysis. Prescription patterns were globally in line with the current recommendations. Systemic antibiotics are most frequently used as a first-line therapy in necrotizing periodontitis (92%) and aggressive periodontitis (53.3% to 66.1%). However, malpractice still exists, including in the management of periodontal abscesses. Antibiotics are prescribed (i) less frequently for periodontal abscesses and (ii) more frequently for generalized aggressive periodontitis by members of the periodontal society and University college (p < 0.05). Amoxicillin (59.9%) and the amoxicillin + metronidazole (59.6%) combination were the most frequently prescribed molecules. Providing a high number of periodontal treatments per week, being more recently graduated, having a post-graduate certificate in periodontology and holding or having held an academic position/hospital practice were all factors associated with a better knowledge of and/or more adequate antibiotic use.

show abstract

mentioning

confidence: 99%

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Agossa

Mainville

et al. 2021

Antibiotics

View full text Add to dashboard Cite

show abstract

“…Junior physicians are not only eager in acquiring knowledge about appropriate antimicrobial prescribing but can also positively influence other sectors of the hospital once they complete their rotations in the ED. 21–23 Little is known about the attitudes of ED staff towards AMS in the ED. 24 As continuous external AMS advice can easily be perceived as annoying and presumptuous, this is an even more delicate matter for the stressful environment of the ED.…”

Section: Discussionmentioning

confidence: 99%

Effect and sustainability of a stepwise implemented multidisciplinary antimicrobial stewardship programme in a university hospital emergency department

Arenz,

Porger,

De Michel

et al. 2023

JAC-Antimicrobial Resistance

View full text Add to dashboard Cite

Objectives To explore effectiveness and sustainability of guideline adherence and antibiotic consumption after establishing treatment guidelines and initiating antimicrobial stewardship (AMS) ward rounds in a university hospital emergency department (ED). Methods Data were gathered retrospectively from 2017 to 2021 in the LMU University Hospital in Munich, Germany. Four time periods were compared: P1 (pre-intervention period); P2 (distribution of guideline pocket cards); P3 (reassessment after 3 years); and P4 (refresher of guideline pocket cards and additional daily AMS ward rounds for different medical disciplines). Primary outcome was adherence to guideline pocket cards for community-acquired pneumonia, cystitis, pyelonephritis and COVID-19-associated bacterial pneumonia. Secondary outcomes were reduction in antibiotic consumption and adherence to AMS specialist recommendations. Results The study included 1324 patients. Guideline adherence increased in P2 for each of the infectious diseases entities. After 3 years (P3), guideline adherence decreased again, but was mostly on a higher level than in P1. AMS ward rounds resulted in an additional increase in guideline adherence (P1/P2: 47% versus 58.6%, P = 0.005; P2/P3: 58.6% versus 57.3%, P = 0.750; P3/P4: 57.3% versus 72.5%, P < 0.001). Adherence increased significantly, not only during workdays but also on weekends/nightshifts. Adherence to AMS specialist recommendations was excellent (91.3%). We observed an increase in use of narrow-spectrum antibiotics and a decrease in the application of fluoroquinolones and cephalosporins. Conclusions Establishing treatment guidelines in the ED is effective. However, positive effects can be diminished over time. Daily AMS ward rounds are useful, not only to restore but to further increase guideline adherence significantly.

show abstract

“…This is the first study assessing HCW perceptions in academic compared with nonacademic public sector hospitals in South Africa and supplements the evidence on AMR and ASP insight locally and globally, including in the One Health context. 4,[8][9][10][11][12][13][14][15][18][19][20][21][22][23] The study surveyed a range of ages and work experience in three provinces. Several notable differences were found between academic and nonacademic environments necessitating contextualized approaches.…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial resistance and antimicrobial stewardship in South Africa: a survey of healthcare workers in academic and nonacademic hospitals

Reddy,

Ramsamy,

Swe Swe-Han

et al. 2023

ASHE

View full text Add to dashboard Cite

Objective: Antimicrobial stewardship programmes (ASPs) facilitate appropriate antimicrobial use and require contextualization for optimal functioning. We aimed to investigate perceptions of and antimicrobial resistance (AMR) and ASPs among healthcare workers in academic and nonacademic hospitals. Design: Cross-sectional survey. Setting: Three academic (Charlotte Maxeke Johannesburg Academic, Inkosi Albert Luthuli, Tygerberg) and three nonacademic hospitals (Leratong, Prince Mshiyeni Memorial, and Paarl) in South Africa from January to June 2022. Participants: Doctors, nurses, and pharmacists. Methods: Voluntary questionnaire using Google Forms, encompassing AMR, ASPs, and selected discipline-specific components. Results: Participants comprised 79 doctors (50 academic), 178 nurses (169 academic), and 21 pharmacists (18 academic) and were female predominant. AMR was a problem in academic hospitals (74.7% vs 51.2%, p 0.004); 73.5% overall reported inappropriate antimicrobial use as a major contributor. Adequate education on antimicrobials occurred in only 36.4% overall. Microbiological testing guided therapy more often in nonacademic settings (80.0% vs 50.2%, p <0.001). In both settings, antimicrobial availability drove selection in 48.2%. Overall, ASPs improved patient care (89.8%) and reduced antimicrobial use (86.9%), although felt to override prescriber autonomy in academic settings (29.4% vs 7.5%, p 0.007), mainly among nurses. Only 50.2% reported successful local ASPs. A minority of pharmacists (20.0%) reported sufficient hospital support for ASPs. Education, involvement of infection control staff, and inclusion of nurses in ASPs were most impactful on AMR. Conclusion: Selected healthcare worker perspectives differ by category and setting and can be targeted to improve ASPs. Further studies should target a higher number of clinical staff in both settings.

show abstract

Perceptions, attitudes, and practices of French junior physicians regarding antibiotic use and resistance

Cited by 16 publications

References 18 publications

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Effect and sustainability of a stepwise implemented multidisciplinary antimicrobial stewardship programme in a university hospital emergency department

Antimicrobial resistance and antimicrobial stewardship in South Africa: a survey of healthcare workers in academic and nonacademic hospitals

Contact Info

Product

Resources

About