title: [Nationwide survey on pediatric infectious disease organisation and antibiotic management in French hospitals].
abstract: Skills in pediatric infectious disease (PID) and antibiotic management are of critical importance in hospitals. This nationwide survey aimed to assess the characteristics, training, and tasks of PID consultants in French hospitals. The management of PID and antibiotic therapy was also analyzed in hospitals lacking PID consultants.
  
  
  METHODS
  An electronic survey linked to a dedicated website was sent to French hospitals with a pediatric department in June 2012. In hospitals where PID consultants were available, they were asked to answer the questionnaire. In hospitals lacking PID consultants, pediatricians were asked to send the questionnaire to their infectious disease consultant, if available.
  
  
  RESULTS
  A total of 86 individual responses were received from 76 hospitals (including 26 academic hospitals). The existence of a PID consultant was declared in 53 hospitals. Responses were received from the person claiming to be "the" or "one of the" PID consultants in 46 cases, representing 39 centers. PID consultants had a degree in PID (46%) or antibiotic therapy (37%), or a complementary qualification as a specialist in infectious diseases (13%). The PID consultants worked in departments of general pediatrics (61%) and emergency medicine (15%), or neonatology (15%). They were involved in the Nosocomial Infection Prevention Committee (43%) or the Antimicrobial Therapy Committee (63%) and had teaching activities (65%). There was a specific unit with a PID label in 10% of the 39 centers reporting at least one consultant and consultations of infectious diseases took place in 28%.
  
  
  CONCLUSIONS
  PID consultants are rare. Their important role in patient care should be recognized. Efforts should focus on recruiting and training such specialists.
authors.affiliation: Service des urgences pédiatriques, centre hospitalier Necker-Enfants-Malades, Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Angoulvant
authors.affiliation: Unité de pédiatrie générale, urgences et maladies infectieuses, CHRU, université de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France; EA2694, épidémiologie, santé publique et qualité des soins, université de Lille, 59000 Lille, France.
authors.forename: F
authors.initials: F
authors.lastname: Dubos
authors.affiliation: Centre hospitalier intercommunal de Créteil, association clinique et thérapeutique infantile du Val-de-Marne, 94000 Créteil, France.
authors.forename: R
authors.initials: R
authors.lastname: Cohen
authors.affiliation: Unité de pédiatrie générale, urgences et maladies infectieuses, CHRU, université de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France; EA2694, épidémiologie, santé publique et qualité des soins, université de Lille, 59000 Lille, France. Electronic address: alain.martinot@chru-lille.fr.
authors.forename: A
authors.initials: A
authors.lastname: Martinot
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy* / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D005602:France; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006748:Hospital Departments / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020407:Internet; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000458:organization & administration* / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000458:organization & administration* / Q000706:statistics & numerical data*; D000078329:Workforce
chemical_list: D000900:Anti-Bacterial Agents