Le Coz P, Carlet J, Roblot F, Pulcini C
Inserm, IAME, UMR 1137, UFR de médecine Paris 7 Denis-Diderot, 16, rue Henri-Huchard, 75018 Paris, France; Université Paris Diderot, Sorbonne Paris Cité, 16, rue Henri-Huchard 75018 Paris, France.
World Alliance Against Antimicrobial Resistance (WAAAR), 92100 Boulogne-Billancourt, France.
Med Mal Infect. 2016 Jun;46(4):200-6. doi: 10.1016/j.medmal.2016.02.007. Epub 2016 Mar 24.
In January 2015, the French ministry of Health set up a task force on antibiotic resistance. Members of the task force's "antimicrobial stewardship" group conducted a study to evaluate the human resources needed to implement all the required activities of the multidisciplinary antimicrobial stewardship teams (AST - antibiotic/infectious disease lead supervisors, microbiologists, and pharmacists) in French healthcare facilities.
We conducted an online cross-sectional nationwide survey. The questionnaire was designed based on regulatory texts and experts' consensus. The survey took place between March and May 2015. We used the mailing list of the French Infectious Diseases Society (SPILF) to send out questionnaires.
A total of 65 healthcare facilities completed the questionnaire. The human resources needed to implement all AST's activities were estimated at 3.6 full-time equivalent (FTE) positions/1000 acute care beds for antibiotic/infectious disease lead supervisors, at 2.5 FTE/1000 beds for pharmacists, and at 0.6 FTE/1000 beds for microbiologists. This almost amounts to a total of 2000 FTE positions for all healthcare facilities (public and private) in France and to an annual cost of 200 million euros.
Dedicated and sustainable funding for AST is urgently needed to implement comprehensive and functional AST programs in all healthcare facilities.
2015年1月，法国卫生部成立了一个抗生素耐药性特别工作组。该特别工作组“抗菌药物管理”小组的成员开展了一项研究，以评估在法国医疗机构中实施多学科抗菌药物管理团队（AST，即抗生素/传染病首席监督员、微生物学家和药剂师）所有必要活动所需的人力资源。
我们开展了一项全国性的在线横断面调查。问卷是根据法规文本和专家共识设计的。调查于2015年3月至5月进行。我们利用法国传染病学会（SPILF）的邮件列表发送问卷。
共有65家医疗机构完成了问卷。实施AST所有活动所需的人力资源估计为：抗生素/传染病首席监督员每1000张急性护理床位需要3.6个全时当量（FTE）岗位，药剂师每1000张床位需要2.5个FTE岗位，微生物学家每1000张床位需要0.6个FTE岗位。这几乎相当于法国所有（公立和私立）医疗机构总共需要2000个FTE岗位，每年成本为2亿欧元。
迫切需要为AST提供专门且可持续的资金，以便在所有医疗机构中实施全面且有效的AST项目。
