Imperial College London
Alternate

DrGabrielBirgand

Faculty of Medicine, Department of Infectious Disease

Honorary Research Fellow
 
 
 
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Contact

 

+44 (0)20 3313 2732g.birgand Website CV

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Asquier-Khati:2023:jacamr/dlad037,
author = {Asquier-Khati, A and Deschanvres, C and Chaslerie, A and Pereira, O and Boutoille, D and Birgand, G},
doi = {jacamr/dlad037},
journal = {Journal of Antimicrobial Chemotherapy},
pages = {1--9},
title = {Expert consensus on monitoring antimicrobial stewardship in French nursing homes using assessed reimbursement database indicators},
url = {http://dx.doi.org/10.1093/jacamr/dlad037},
volume = {5},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectivesMonitoring the appropriateness of antibiotic prescriptions with indicators based on reimbursement data is required to guide antibiotic stewardship (AMS) interventions in nursing homes (NHs). Quantity metrics (QMs) monitor the volume of prescriptions while proxy indicators (PIs) reflect the appropriateness of antibiotic use. Our objectives were: (i) to provide a relevant consensual set of indicators to be used in French NHs; and (ii) to assess the feasibility of their implementation at the national and local scale.MethodsNine French professional organizations implicated in AMS in NHs were asked to nominate at least one member to create a national expert panel of 20 physicians. Twenty-one recently published QMs and 11 PIs were assessed by the expert panel. Indicators were evaluated using a RAND-modified Delphi procedure comprising two online surveys and a videoconference meeting. Indicators were kept in the final list if >70% of stakeholders validated their relevance for estimating the volume (QMs) and appropriateness (PIs) of prescriptions.ResultsOf the 21 QM indicators submitted to the panel, 14 were selected, describing the consumption of antibiotics overall (n=3), broad-spectrum (n=6) and second-line antibiotics (n=2). The three remaining QMs evaluated the route of administration (n=1) and urine culture prescriptions (n=2). Ten PIs (six modified, two rejected, one new) were selected to assess the appropriateness of prescriptions for urinary tract infections (n=2), seasonal variations in prescriptions (n=2), repeated prescriptions of fluoroquinolones (n=1), cephalosporins’ route of administration (n=1), duration of treatment (n=1), rate of second-line antibiotics (n=1), co-prescriptions with non-steroidal anti-inflammatory drugs (n=1), and flu vaccine coverage (n=1). The panel was in favour of using these indicators for regional and facility level AMS programmes (91%), feedback to NH prescribers (82%), benchmarking by he
AU  - Asquier-Khati,A
AU  - Deschanvres,C
AU  - Chaslerie,A
AU  - Pereira,O
AU  - Boutoille,D
AU  - Birgand,G
DO  - jacamr/dlad037
EP  - 9
PY  - 2023///
SN  - 0305-7453
SP  - 1
TI  - Expert consensus on monitoring antimicrobial stewardship in French nursing homes using assessed reimbursement database indicators
T2  - Journal of Antimicrobial Chemotherapy
UR  - http://dx.doi.org/10.1093/jacamr/dlad037
UR  - https://academic.oup.com/jacamr/article/5/2/dlad037/7097641
UR  - http://hdl.handle.net/10044/1/103511
VL  - 5
ER  -
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