title: Implementing a tele-expertise system to optimise the antibiotic use and stewardship: The case of the Montpellier University Hospital (France).
abstract: This paper has two aims: 1) to describe the tele-expertise system implemented in the Montpellier University Hospital (France) in order to optimize antimicrobial use 2) to analyze the prescribers' adherence to this system. For the second purpose, an observational prospective study was conducted for 12 months. Data were collected from counselling advices, which were notified in the electronic medical records. 1386 tele-expertise actions were performed. Among them, 87% were made without clinical evaluation at the bedside. The prescribers' adherence rate to a diagnosis was 79%. For the therapeutic requests, 87% of answers were fully followed. The results outline how the tele-expertise system enables both infectious disease specialists and prescribers to make better decisions in particular cases.
authors.affiliation: Montpellier Management Research Center, University of Montpellier, France.
authors.forename: D
authors.initials: D
authors.lastname: Morquin
authors.affiliation: Montpellier Management Research Center, University of Montpellier, France.
authors.forename: R
authors.initials: R
authors.lastname: Ologeanu-Taddei
authors.affiliation: Infectious and Tropical Diseases Department, Gui de Chauliac, Montpellier University Hospital, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Koumar
authors.affiliation: Research Division, Montpellier University Hospital, France.
authors.forename: R
authors.initials: R
authors.lastname: Bourret
authors.affiliation: Infectious and Tropical Diseases Department, Gui de Chauliac, Montpellier University Hospital, France.
authors.forename: J
authors.initials: J
authors.lastname: Reynes
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy*; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005602:France; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D050316:Medical Order Entry Systems / Q000458:organization & administration / Q000706:statistics & numerical data; D019114:Remote Consultation / Q000706:statistics & numerical data*; D016903:Drug Monitoring
chemical_list: D000900:Anti-Bacterial Agents