Antibiotic Prescribing Behavior Among French Intensivist: Construction and Validation of a Questionnaire

Centre Hospitalier Universitaire de Saint Etienne

Status: Unknown

Conditions: Antibiotic Reaction

Treatments: Other: Content Validity

Study type: Observational

Funder types: Other

Identifiers

NCT04820062

20CH031

Details and patient eligibility

About

Antibiotic resistance is a major threat in modern medicine. Overuse of antibiotics is an important driver of antibiotic resistance. However, some authors have shown that up to 50% of antibiotic treatments in critically ill patients are inappropriate, mostly because they are used in patients with non-bacterial infections.

In order to improve antibiotic use, several antibiotic stewardship programs have been implemented worldwide. However, only few of them have taken into account the determinants of prescribing behaviors. Yet, these determinants have been shown to play a role among general practitioners of hospital doctors. Nevertheless, none of these factors have been studied among intensivists.

The current project represent phase 1 of the study : construction and validation of a questionnaire.

Full description

Antibiotic resistance is a major threat in modern medicine. Overuse of antibiotics is an important driver of antibiotic resistance. In critical care setting, antibiotic therapies are widely used due to the high number of patients presenting with sepsis. However, some authors have shown that up to 50% of antibiotic treatments in critically ill patients are inappropriate, mostly because they are used in patients with non-bacterial infections.

In order to improve antibiotic use, several antibiotic stewardship programs have been implemented worldwide. However, only few of them have taken into account the determinants of prescribing behaviors. Yet, these determinants have been shown to play a role among general practitioners of hospital doctors. Nevertheless, none of these factors have been studied among intensivists.

The study is designed to investigate social, cultural, contextual and personal factors influencing antibiotic prescribing among French intensivists. The design will consist of three phases:

• Phase 1: construction and validation of a questionnaire
• Phase 2: the questionnaire will be sent to all intensivist, including residents, in France
• Phase 3: qualitative study, based on semi-structured interviews.

The current project represent phase 1 of the study.

Enrollment: 115 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Physicians with predominant intensive care practice
• Resident, with a minimum of two-month experience in the intensive care unit

Exclusion criteria

• Refusal to participate