title: Acceptability of antibiotic stewardship measures in primary care.
abstract: OBJECTIVE
  We aimed to assess the acceptability of antibiotic stewardship measures by family physicians.
  
  
  METHODS
  We conducted an online cross-sectional survey in 2015 with a sample of family physicians practicing in a specific French region.
  
  
  RESULTS
  Overall, 283 of 1171 family physicians (24%) completed the questionnaire. Decision-support tools for antibiotic prescribing and educational measures were well accepted by family physicians: 71% strongly agreed with a free distribution of urine dipstick tests and 54% with incentives to participate in antibiotic training sessions. Almost all family physicians did not agree with restrictive measures: 68% were for instance opposed to having to justify the prescription's compliance with guidelines on the prescription itself. Physicians also did not agree with restrictive measures when they only applied to physicians prescribing many antibiotics.
  
  
  CONCLUSIONS
  Participants were probably the most motivated and aware of the topic physicians, but they were particularly hostile to the introduction of restrictive measures related to antibiotic prescribing. Our survey was conducted with a large sample of family physicians and could help orientate our country's antibiotic stewardship policy. However, family physicians are likely to oppose any measure aiming at restricting their freedom of prescription.
authors.affiliation: Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Département de médecine générale, faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Forêt-de-Haye, BP 184, 54505 Vandœuvre-Lès-Nancy cedex, France. Electronic address: marianneg86@aol.fr.
authors.forename: M
authors.initials: M
authors.lastname: Giry
authors.affiliation: Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Service de maladies infectieuses, CHU de Nancy, hôpitaux de Brabois, allée du Morvan, 54511 Vandœuvre-Lès-Nancy cedex, France; EA 4360 APEMAC, université de Lorraine, université Paris-Descartes, 9, avenue de la Forêt-de-Haye, CS 50184, 54505 Vandœuvre-lès-Nancy cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Pulcini
authors.affiliation: Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Service de maladies infectieuses, CHU de Nancy, hôpitaux de Brabois, allée du Morvan, 54511 Vandœuvre-Lès-Nancy cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Rabaud
authors.affiliation: Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Département de médecine générale, faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Forêt-de-Haye, BP 184, 54505 Vandœuvre-Lès-Nancy cedex, France; CIC-P Inserm, CHU de Nancy, Hôpital Brabois, bâtiment Louis-Mathieu, 54500 Vandœuvre-Lès-Nancy, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Boivin
authors.affiliation: Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France; Département de médecine générale, faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Forêt-de-Haye, BP 184, 54505 Vandœuvre-Lès-Nancy cedex, France; EA 4360 APEMAC, université de Lorraine, université Paris-Descartes, 9, avenue de la Forêt-de-Haye, CS 50184, 54505 Vandœuvre-lès-Nancy cedex, France.
authors.forename: V
authors.initials: V
authors.lastname: Mauffrey
authors.affiliation: Antibiolor, CHU de Nancy, hôpitaux de Brabois, bâtiment des spécialités médicales Philippe-Canton, 54511 Vandœuvre-lès-Nancy cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Birgé
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000073602:Antimicrobial Stewardship; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D003661:Decision Support Techniques; D011307:Drug Prescriptions / Q000592:standards; D005260:Female; D005602:France; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods; D010821:Physicians, Family / Q000523:psychology*; D011320:Primary Health Care / Q000592:standards*; D017009:Professional Autonomy; D011364:Professional Practice; D011933:Reagent Kits, Diagnostic; D011795:Surveys and Questionnaires; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D014556:Urine / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D011933:Reagent Kits, Diagnostic
keywords: Antibiotic stewardship; Antibiotics; Antibiotiques; Bon usage des antibiotiques; General medicine; Médecine générale