One Hundred Explicit Definitions of ...
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Article dans une revue scientifique: Article original
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Title :
One Hundred Explicit Definitions of Potentially Inappropriate Prescriptions of Antibiotics in Hospitalized Older Patients: The Results of an Expert Consensus Study.
Author(s) :
Baclet, Nicolas [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Forestier, E. [Auteur]
Gavazzi, G. [Auteur]
Roubaud-Baudron, C. [Auteur]
Hiernard, Vincent [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hequette-Ruz, R. [Auteur]
Alfandari, S. [Auteur]
Aumaître, H. [Auteur]
Botelho-Nevers, E. [Auteur]
Caraux-Paz, P. [Auteur]
Charmillon, A. [Auteur]
Diamantis, S. [Auteur]
Fraisse, T. [Auteur]
Gazeau, P. [Auteur]
Hentzien, M. [Auteur]
Lanoix, J. P. [Auteur]
Paccalin, M. [Auteur]
Putot, A. [Auteur]
Ruch, Y. [Auteur]
Senneville, E. [Auteur]
Beuscart, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Forestier, E. [Auteur]
Gavazzi, G. [Auteur]
Roubaud-Baudron, C. [Auteur]
Hiernard, Vincent [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hequette-Ruz, R. [Auteur]
Alfandari, S. [Auteur]
Aumaître, H. [Auteur]
Botelho-Nevers, E. [Auteur]
Caraux-Paz, P. [Auteur]
Charmillon, A. [Auteur]
Diamantis, S. [Auteur]
Fraisse, T. [Auteur]
Gazeau, P. [Auteur]
Hentzien, M. [Auteur]
Lanoix, J. P. [Auteur]
Paccalin, M. [Auteur]
Putot, A. [Auteur]
Ruch, Y. [Auteur]
Senneville, E. [Auteur]
Beuscart, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Journal title :
Antibiotics (Basel)
Abbreviated title :
Antibiotics (Basel)
Volume number :
13
Publisher :
MDPI
Publication date :
2024-04-05
ISSN :
2079-6382
English keyword(s) :
antimicrobial resistance
elderly
inappropriate prescription
antibiotic stewardship
hospital setting
elderly
inappropriate prescription
antibiotic stewardship
hospital setting
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Background: In geriatrics, explicit criteria for potentially inappropriate prescriptions (PIPs) are useful for optimizing drug use. Objective: To produce an expert consensus on explicit definitions of antibiotic-PIPs for ...
Show more >Background: In geriatrics, explicit criteria for potentially inappropriate prescriptions (PIPs) are useful for optimizing drug use. Objective: To produce an expert consensus on explicit definitions of antibiotic-PIPs for hospitalized older patients. Methods: We conducted a Delphi survey involving French experts on antibiotic stewardship in hospital settings. During the survey’s rounds, the experts gave their opinion on each explicit definition, and could suggest new definitions. Definitions with a 1-to-9 Likert score of between 7 and 9 from at least 75% of the participants were adopted. The results were discussed during consensus meetings after each round. Results: Of the 155 invited experts, 128 (82.6%) participated in the whole survey: 59 (46%) infectious diseases specialists, 45 (35%) geriatricians, and 24 (19%) other specialists. In Round 1, 65 explicit definitions were adopted and 21 new definitions were suggested. In Round 2, 35 other explicit definitions were adopted. The results were validated during consensus meetings (with 44 participants after Round 1, and 54 after Round 2). Conclusions: The present study is the first to have provided a list of explicit definitions of potentially inappropriate antibiotic prescriptions for hospitalized older patients. It might help to disseminate key messages to prescribers and reduce inappropriate prescriptions of antibiotics.Show less >
Show more >Background: In geriatrics, explicit criteria for potentially inappropriate prescriptions (PIPs) are useful for optimizing drug use. Objective: To produce an expert consensus on explicit definitions of antibiotic-PIPs for hospitalized older patients. Methods: We conducted a Delphi survey involving French experts on antibiotic stewardship in hospital settings. During the survey’s rounds, the experts gave their opinion on each explicit definition, and could suggest new definitions. Definitions with a 1-to-9 Likert score of between 7 and 9 from at least 75% of the participants were adopted. The results were discussed during consensus meetings after each round. Results: Of the 155 invited experts, 128 (82.6%) participated in the whole survey: 59 (46%) infectious diseases specialists, 45 (35%) geriatricians, and 24 (19%) other specialists. In Round 1, 65 explicit definitions were adopted and 21 new definitions were suggested. In Round 2, 35 other explicit definitions were adopted. The results were validated during consensus meetings (with 44 participants after Round 1, and 54 after Round 2). Conclusions: The present study is the first to have provided a list of explicit definitions of potentially inappropriate antibiotic prescriptions for hospitalized older patients. It might help to disseminate key messages to prescribers and reduce inappropriate prescriptions of antibiotics.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2024-05-06T23:20:42Z
2024-05-22T07:23:38Z
2024-05-22T07:23:38Z
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