Renan Le Cras, Patricia Vidal, Patricia Pavese, Patrice François, Anna Sette, Philippe Lesprit
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Efficacy of antimicrobial stewardship indicators in assessing the impact of a regional antibiotic therapy center in primary care and nursing homes.
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 a 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.
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