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Belan M, Agrinier N, Gonthier D, et al. Antibiotic stewardship in French nursing homes: a 2019 regional survey. JAC Antimicrob Resist. 2021;3(3):dlab105doi: 10.1093/jacamr/dlab105.
Belan, M., Agrinier, N., Gonthier, D., Boivin, J. M., Charmillon, A., Chopard, V., Dif, C., Hansmann, V., Pereira, O., Thilly, N., & Pulcini, C. (2021). Antibiotic stewardship in French nursing homes: a 2019 regional survey. JAC-antimicrobial resistance, 3(3), dlab105. https://doi.org/10.1093/jacamr/dlab105
Belan, Martin, et al. "Antibiotic stewardship in French nursing homes: a 2019 regional survey." JAC-antimicrobial resistance vol. 3,3 (2021): dlab105. doi: https://doi.org/10.1093/jacamr/dlab105
Belan M, Agrinier N, Gonthier D, Boivin JM, Charmillon A, Chopard V, Dif C, Hansmann V, Pereira O, Thilly N, Pulcini C. Antibiotic stewardship in French nursing homes: a 2019 regional survey. JAC Antimicrob Resist. 2021 Aug 15;3(3):dlab105. doi: 10.1093/jacamr/dlab105. eCollection 2021 Sep. PMID: 34647021; PMCID: PMC8499689.
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JAC Antimicrob Resist. 2021 Aug 15;3(3):dlab105. doi: 10.1093/jacamr/dlab105. eCollection 2021 Sep.

Antibiotic stewardship in French nursing homes: a 2019 regional survey.

JAC-antimicrobial resistance

Martin Belan, Nelly Agrinier, Damien Gonthier, Jean-Marc Boivin, Alexandre Charmillon, Virginie Chopard, Claudine Dif, Véronique Hansmann, Ouarda Pereira, Nathalie Thilly, Céline Pulcini

Affiliations

  1. Infectious Diseases Department, Université de Lorraine, CHRU-Nancy, F-54000, Nancy, France.
  2. Université de Lorraine, APEMAC, F-54000, Nancy, France.
  3. CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie Clinique, F-54000, Nancy, France.
  4. CHRU-Nancy, Infectious Diseases Department, in Charge of Mobile Infectiologie Team, F-54000, Nancy, France.
  5. Grand Est Antibiotic Stewardship Network Coordinator, AntibioEst, F-54000, Nancy, France.
  6. Observatoire du Médicament, des Dispositifs médicaux et de l'Innovation Thérapeutique Grand Est, F-54000, Nancy, France.
  7. Direction Régionale du Service Médicale Grand Est, F-67000, Strasbourg, France.
  8. Agence Régionale de Santé Grand Est, F-54000, Nancy, France.
  9. Methodology-Promotion-Investigation Department, Université de Lorraine, CHRU-Nancy, F-54000, Nancy, France.

PMID: 34647021 PMCID: PMC8499689 DOI: 10.1093/jacamr/dlab105

Abstract

BACKGROUND: Antibiotic resistance is a growing issue in nursing homes (NHs). Antibiotic stewardship (ABS) programmes can reduce antibiotic use in NHs, but few studies have assessed to what extent they are implemented in NHs.

OBJECTIVES: To describe ABS current practices and describe the opinion of NH stakeholders regarding ABS and opportunities for improvement in one French region.

METHODS: We invited by e-mail the medical and nurse coordinators of all NHs of the Grand Est region, France, to participate in our survey in 2019. The online questionnaire included 35 questions covering four topics: NH characteristics, current ABS practices, attitudes towards ABS and opinions on strategies to promote ABS. A score evaluating implementation of core ABS elements was calculated using the current ABS practice responses.

RESULTS: Out of 417 NHs, 75 (18%) participated in our survey. The three most implemented ABS activities were antibiotic consumption monitoring (65%), antibiotic plan documentation (56%) and antibiotic prescription guide distribution (54%). Audit and feedback, training sessions or identification of a local ABS leader ranged from 13% to 29%. Participants positively perceived ABS and most suggestions to improve ABS programmes in NH, with maximal interest in training, audit and feedback interventions. The median score for implementation of core ABS elements was 3.3 (IQR = 2.3-5.4; theoretical range 0-11), and the score distribution was not associated with any NH characteristic.

CONCLUSIONS: While there is still room for improvement, NHs had a positive attitude towards ABS strategies. Some regional and national initiatives to promote ABS in NHs exist and should be actively promoted.

© The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy.

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