Alfandari S, Riche A, Rabaud C, Cremieux A-C, Gauzit R, Roblot F
Commission FMC de la SPILF, 25, boulevard Saint-Jacques, 75014 Paris, France.
Med Mal Infect. 2010 Oct;40(10):582-5. doi: 10.1016/j.medmal.2010.06.011.
We conducted a survey among participants to a French ID Society sponsored meeting for antimicrobial management teams (AMT). We analysed 115 responses. Respondents were mostly physicians (79%) followed by microbiologists (11%), infection control practitioners (9%) and hospital pharmacists (7%). Only 43% were ID board certified while 47% had a university degree on antibiotic use. AMT activities concerning diagnostic and therapeutic advice, residents training and antibiotic use audit were mostly managed by physicians. Antimicrobial resistance and antibiotic consumption were managed, respectively, by the microbiologist and the hospital pharmacist. This survey shows the interest of a multidisciplinary antimicrobial management team. However, the cornerstone of the AMR is clearly the physician. Small hospital could contract part time physician and work through regional teams.
我们对参加法国传染病协会主办的抗菌药物管理团队（AMT）会议的与会者进行了一项调查。我们分析了115份回复。受访者大多是医生（79%），其次是微生物学家（11%）、感染控制从业人员（9%）和医院药剂师（7%）。只有43%获得了传染病委员会认证，而47%拥有抗生素使用方面的大学学位。关于诊断和治疗建议、住院医师培训以及抗生素使用审核的AMT活动大多由医生管理。微生物学家和医院药剂师分别负责管理抗菌药物耐药性和抗生素消费。这项调查显示了多学科抗菌药物管理团队的重要性。然而，抗菌药物耐药性的基石显然是医生。小型医院可以聘请兼职医生并通过区域团队开展工作。
