Infectious disease hotlines to provide advice to general practitioners: a prospective study

BMC Health Services Research

Research

Solen Kerneis¹  Bastien Boussat²  Marion Baldeyrou³  Véronique Mondain⁴  Delphine Poitrenaud⁵  Anna Luce Sette⁶  Bertrand Issartel⁷  Sylvain Diamantis⁸  Emma Breugnon⁹  Virginie Vitrat^1,10  Olivier Rogeaux^1,11  Patricia Pavese^1,12  Philippe Lesprit^1,12  Patrice François^1,13 

[1] Equipe Mobile d’Infectiologie, APHP, Hôpital Cochin, F-75014, Paris, France;Laboratoire TIMC-IMAG, Université de Grenoble Alpes, Grenoble, France;Maladies Infectieuses et Réanimation Médicale, Hôpital Pontchaillou, Centre Hospitalo-Universitaire, Rennes, France;Maladies Infectieuses, Centre Hospitalier Universitaire de Nice, Nice, France;Maladies infectieuses et tropicales, Centre Hospitalier d’Ajaccio, Ajaccio, France;Médecine Générale, Centre Hospitalier Universitaire Grenoble-Alpes, Grenoble, France;Médecine Interne Infectieuse et Tropicale, MiiT médical selarl, Lyon-Villeurbanne, France;Service de Maladies infectieuses, Groupe Hospitalier Sud Ile de France, Melun, France;Service de maladies infectieuses, Centre Hospitalier Universitaire de Saint-Etienne, Saint- Etienne, France;Service de maladies infectieuses, Centre Hospitalier d’Annecy, Annecy, France;Service des maladies infectieuses et tropicales, Centre Hospitalier Métropole Savoie, Chambéry, France;Service des maladies infectieuses et tropicales, Centre Hospitalier Universitaire Grenoble-Alpes, Pavillon Taillefer, La Tronche, France;Service d’épidémiologie et évaluation médicale, Centre Hospitalier Universitaire Grenoble-Alpes, 38700, Pavillon Taillefer, La Tronche, France;

关键词: Infectious diseases;    Hotlines;    General practitioner;    Antibacterial drug resistance;    Intersectoral collaborations;   

DOI  :  10.1186/s12913-023-09515-3

 received in 2023-01-24, accepted in 2023-05-08,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundTelephone hotlines in infectious diseases (ID) are part of antimicrobial stewardship programs designed to provide support and expertise in ID and to control antibiotic resistance. The aim of the study was to characterize the activity of the ID hotlines and estimate their usefulness for general practitioners (GPs).MethodsThis was a multicenter prospective observational study in different French regions. ID teams involved in antimicrobial stewardship with a hotline for GPs were asked to record their advice from April 2019 to June 2022. In these regions, all GPs were informed of the ID hotline’s operating procedures. The main outcome was usage rate of the hotlines by GPs.ResultsTen volunteer ID teams collected 4138 requests for advice from 2171 GPs. The proportion of GPs using the hotline varied pronouncedly by region, from 54% in the Isere department, to less than 1% in departments with the lowest usage. These differences were associated with the number of physicians in ID teams and with the age of the hotline. These results highlighted the value of working time as a means of ensuring the permanence of expertise. The main reasons for calling were: a diagnostic question (44%); choice of antibiotic (31%). The ID specialist provided advice on antibiotic therapy (43%) or a proposal for specialized consultation or hospitalization (11%).ConclusionsID hotlines could help to strengthen cooperation between primary care and hospital medicine. However, the deployment and perpetuation of this activity require reflection concerning its institutional and financial support.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 1