Evidence map›Paper›PMID 38369786›Full record

ArticleInfection control and hospital epidemiology2024

Antibiotic consumption in French nursing homes between 2018 and 2022: A multicenter survey.

Ségolène Bouges, Amélie Jouzeau, Florence Lieutier-Colas, Muriel Péfau, Lory Dugravot, Anne-Marie Rogues, Loic Simon, Catherine Dumartin

Abstract readMulticenter Study
In one paragraph

Article in Infection control and hospital epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ségolène BougesCPIAS Nouvelle-Aquitaine, CHU de Bordeaux, Bordeaux, France.ORCID 0009-0008-9016-7766
Amélie JouzeauCPIAS Grand-Est, CHU de Nancy, France.
Florence Lieutier-ColasCPIAS Grand-Est, CHU de Nancy, France.
Muriel PéfauCPIAS Nouvelle-Aquitaine, CHU de Bordeaux, Bordeaux, France.
Lory DugravotCPIAS Grand-Est, CHU de Nancy, France.
Anne-Marie RoguesService d'hygiène hospitalière, CHU de Bordeaux, Bordeaux, France.
Loic SimonCPIAS Grand-Est, CHU de Nancy, France.
Catherine DumartinCPIAS Nouvelle-Aquitaine, CHU de Bordeaux, Bordeaux, France.ORCID 0000-0003-1146-0259

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMonitoring antibiotic consumption is a key component to steer antimicrobial stewardship programs, including in nursing homes. We analyzed changes in antibiotic consumption in French nursing homes during 5 years, including the COVID-19 pandemic, to identify potential priorities for improvement.

designA multicenter survey was conducted between 2018 and 2022.

settingThe study was conducted across 220 French nursing homes with on-site pharmacies.

methodAntibiotic consumption data were collected from pharmacy records and are expressed as defined daily doses per 1,000 resident days. Antibiotic indicators promoted by health authorities were calculated from quantitative data to evaluate the quality of prescribing.

resultsAntibiotic consumption significantly decreased between 2018 and 2022, particularly during the coronavirus disease 2019 (COVID-19) pandemic, despite a slight increase in 2022. During the study period, the most used antibiotic classes were penicillins (61.9% in 2022) followed by cephalosporins (10.5%), macrolides-lincosamides-streptogramins (7.3%) then fluoroquinolones (7.0%). Amoxicillin-clavulanic acid was the most consumed antibiotic; amoxicillin and ceftriaxone ranked second and third. Azithromycin consumption increased from 2020, as did the indicator regarding broad-spectrum antibiotics.

conclusionsThe decreasing trend in antibiotic use and control of fluoroquinolone use over the study period suggest compliance with antibiotic use guidelines. However, changes in the use of broad-spectrum antibiotics and the substantial use of amoxicillin-clavulanic acid, although it is rarely a first-line antibiotic, highlight the need for antimicrobial stewardship activities and the usefulness of antibiotic consumption surveillance to identify priorities.

Indexed as

Anti-Bacterial AgentsAntimicrobial StewardshipNursing HomesCOVID-19Drug UtilizationFranceHumansPractice Patterns, Physicians'SARS-CoV-2Surveys and QuestionnairesAnti-Bacterial Agents

Identifiers

PMID38369786
PMCPMC11102820

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.