| Title: |
General practitioners' requests for advisory services to biologists regarding selective reporting of antibiotic susceptibility testing ; Sollicitations de prestations de conseil par les médecins généralistes auprès des biologistes sur les antibiogrammes ciblés |
| Authors: |
Le Bihan, Clément; Aubin, Guillaume; Jeanmougin, Pauline; Fournier, Jean-Pascal |
| Contributors: |
Nantes Université - UFR de Médecine et des Techniques Médicales (Nantes Univ - UFR MEDECINE); Nantes Université - pôle Santé; Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ); Société Française de Microbiologie (SFM); Département de médecine générale Nantes Université - UFR de Médecine et des Techniques Médicales (DMG Nantes); Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)-Nantes Université - pôle Santé; Préventions, Organisations et Parcours en Soins primaires (POPS); Université d'Angers (UA); IRESP- 312381 |
| Source: |
ISSN: 0003-3898 ; Annales de Biologie Clinique ; https://hal.science/hal-05415904 ; Annales de Biologie Clinique, 2025, 83 (6), pp.00-00. ⟨10.1684/abc.2025.2004⟩. |
| Publisher Information: |
CCSD; John Libbey Eurotext |
| Publication Year: |
2025 |
| Subject Terms: |
Cystite -Antibactériens -Tests de sensibilité microbienne -Services de laboratoire d Cystitis -Anti-bacterial agents -Microbial sensitivity tests -Clinical laboratory services -General practitioners -Primary health care; [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases |
| Description: |
International audience ; This study aimed to assess the rate at which general practitioners (GPs) sought advice from biologists after selective reporting of antibiotic susceptibility testing (AST) was introduced for enterobacterial urinary tract infections in adult women. This study also aimed to describe the characteristics and reasons for these requests, as well as the acceptability of selective reporting of AST. A prospective descriptive study was conducted as part of the ABC-MG trial in 2023-24. We collected data on the number of selective reporting of AST, requests for advices, and the reasons for these requests. A telephone questionnaire was administered to GPs who had requested advices. A total of 4,144 selective reporting of AST were performed for 537 GPs. The rate of requests for advice related to selective reporting of AST was 1.0%. Half of GPs were satisfied with the use of selective reporting of AST and praised its added-value in combating antibiotic resistance and limiting the prescription of broad-spectrum antibiotics. The main constraints were the need to contact a biologist for a full reporting of AST, delays in introducing antibiotic therapy, lack of clarity in selective reporting of AST, and unsuitable results in cases of suspected simple acute kidney infection. The implementation and use of selective reporting of AST are well accepted by GPs and result in a low rate of requests to biologists. These are promising tools for use in antibiotic management programs. ; Les objectifs de cette étude étaient d'évaluer le taux de sollicitation de prestations de conseil des médecins généralistes auprès des biologistes suite à la mise en place des antibiogrammes ciblés dans les infections urinaires à entérobactérie chez la femme adulte, et de décrire les caractéristiques et les motifs de ces sollicitations, et l'acceptabilité des antibiogrammes ciblés. Nous avons mené une étude descriptive prospective déclarative, menée en ancillaire de l'essai ABC-MG en 2023-2024. Le nombre d'antibiogrammes ciblés, les ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1684/abc.2025.2004 |
| Availability: |
https://hal.science/hal-05415904; https://hal.science/hal-05415904v1/document; https://hal.science/hal-05415904v1/file/Manuscript%20version%20auteur%20HAL.pdf; https://doi.org/10.1684/abc.2025.2004 |
| Rights: |
info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.4E452729 |
| Database: |
BASE |