法国转诊中心提供的抗生素咨询的质量：前瞻性审计。

IF 2.9 4区医学 Q2 INFECTIOUS DISEASES

Infectious diseases now Pub Date : 2025-05-17 DOI:10.1016/j.idnow.2025.105089

Pierre-Marie Roger , Nicolas Lesaffre , Timothé Thiel , Assi Assi , Eric Denes

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引用次数: 0

摘要

目的：我们的目的是确定抗生素转诊中心（RC）向全科医生（GP）提供的抗生素建议的质量。方法：对2024年5月至8月RCs向全科医生提供的4例尿路感染和4例呼吸道感染的抗生素建议进行前瞻性多中心审计。三名高级传染病专家根据现有准则提出了建议。结果：14个rc被要求提供112条建议，获得106条回复（95% %）。76例（72 %）由一位资深医师提供建议，另外30例（38 %）由一位住院医师提供建议。平均评分/ 5(±标准偏差)/临床病例是2.7 ± 1.9,泌尿道感染和呼吸道感染的区别: 3.5±1.7和3.0  ± 1.1,p = 0.043和更高的分数为高级医生与居民: 2.9±1.8和2.0  ± 1.9,p = 0.019。结论：RCs向全科医生提供的抗生素相关建议质量参差不齐，支持高级医师干预可促进改善。

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Quality of the antibiotic advice provided by referral centres in France: a prospective audit

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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