Efficacy of antimicrobial stewardship indicators in assessing the impact of a regional antibiotic therapy center in primary care and nursing homes - 11/12/25
, Patricia Vidal b, Patricia Pavese c, Patrice François d, Anna Sette d, Philippe Lesprit aon behalf of the CRAtb-AuRA 1
Highlights |
• | Regional Antibiotherapy Centers aim to promote the appropriate use of antibiotics in primary care and nursing homes. |
• | The CRAtb in Auvergne-Rhône-Alpes tracks antibiotic use through application of validated regional indicators. |
• | Fluoroquinolone consumption and antibiotic treatment lasting over a week are on the decline. |
• | However, the total number of antibiotic prescriptions is on the rise. |
• | While some regional indicators have shown progress, there is still room for improvement. |
Abstract |
Objective |
This study describes the implementation and short-term evolution of the antibiotherapy indicators selected by the Regional Antibiotherapy Center of Auvergne-Rhône-Alpes for utilization in primary care and nursing homes.
Material and Methods |
This retrospective observational study was based on public reimbursement data between 2021 and 2023. Seven indicators were selected for the community and eight for nursing homes.
Results |
We observed positive trends for first-line antibiotics for female urinary tract infections (community: + 28 %, nursing homes: +18 %), treatment duration > 7 days (community: −7,8%; −13,4% for amoxicillin-clavulanic acid; nursing homes: −20,5%), fluoroquinolones in nursing homes (−16 %) and combination of amoxicillin-clavulanic acid with metronidazole or amoxicillin in the community (–22 %). That said, total antibiotic consumption increased in the community (+16.5 %), while remaining stable in nursing homes.
Conclusion |
This study identified areas for improvement in antibiotic therapy in our region. A longer follow-up will be necessary to assess the potential impact of initiatives such as ours on proper antibiotic use.
Le texte complet de cet article est disponible en PDF.Keywords : Antibiotic center, Regional indicators, Antimicrobial stewardship, Primary care, Nursing homes
Plan
Vol 55 - N° 8
Article 105165- décembre 2025 Retour au numéro
Article précédent
- Beta-lactam underdosing is not more frequent in COVID-19 than in non-COVID-19 critically ill patients
- Maeva Palayer, Juliette Bernier, Emmanuel Pardo, Franck Verdonk, Tomas Urbina, Emmanuel Bourgogne
- Evolution of the inappropriate use of broad-spectrum antibiotics for Pseudomonas aeruginosa infections following the 2022 CA-SFM guidelines
- C. Ourghanlian, D. Kharchenko, V. Fihman, A. Galy, P-L. Woerther, R. Lepeule
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?