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Quality of the antibiotic advice provided by referral centres in France: a prospective audit
Pierre-Marie Roger1, Nicolas Lesaffre2, Timothé Thiel3
1Infectiologie, Polyclinique Les Fleurs, 332 av F. Mistral, 83110 Ollioules, France; Cellule Recherche et Enseignement, Groupe Elsan, Territoire Provence Alpes-Côte d'Azur, QuartiezQuiez, 83190 Ollioules, France.
Objectives:
Our aim was to determine the quality of antibiotic advice given by antibiotic referral centres (RC) to general practitioners (GP).
Method:
A prospective multicentre audit of antibiotic advice on four urinary tract infections (UTI) and four respiratory infections delivered to GPs by RCs was carried out from May to August 2024. Recommendations were put forward by three senior infectious disease specialists in accordance with the existing guidelines.
Results:
Fourteen RCs were asked to provide 112 recommendations, and 106 responses were obtained (95 %). Advice was given by a senior physician in 76 cases (72 %) and a resident in the 30 others (38 %). The mean score/5 [± std deviation] per clinical case was 2.7 ± 1.9, with a difference between UTI and respiratory infections: 3.5 ± 1.7 versus 3.0 ± 1.1, p = 0.043, and a higher score for senior physicians as compared to residents: 2.9 ± 1.8 versus 2.0 ± 1.9, p = 0.019.
Conclusion:
The quality of antibiotic-related advice provided by RCs to GPs appeared heterogeneous, and improvement could be facilitated by favouring senior physician intervention.
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