Significantly reduced duration of antibiotic prescription for erysipelas subsequent to the 2019 French guidelines on skin and soft tissue infection: A before-after study

IF 2.9 4区医学 Q2 INFECTIOUS DISEASES Infectious diseases now Pub Date : 2024-03-15 DOI:10.1016/j.idnow.2024.104887

Justin Destoop , Clélia Vanhaecke , Firouzé Bani-Sadr , Yannick Plenier , Manuelle-Anne Viguier , Maxime Hentzien

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Abstract

Background

New skin and soft tissue infections (SSTI) guidelines were published in 2019 in France, changing the recommended duration for antibiotic treatment. The objective of the present study was to assess the impact of the publication of the 2019 French guidelines on SSTIs on the duration of antibiotic prescription for erysipelas.

Methods

In a before-after study (a year before and a year after April 1st, 2019), we included all adult patients diagnosed with erysipelas in Reims University Hospital medical wards and the emergency department. We retrospectively retrieved antibiotic prescription duration in the patients’ medical files.

Results

Among 50 patients in the “before” and 39 in the “after” group, the mean duration of antibiotic prescription was significantly shorter in the “after” group (9.4 ± 2.8 vs. 12.4 ± 3.8 days, p = 0.0001).

Conclusions

A 25% decrease in the duration of antibiotic prescription for erysipelas was observed following the implementation of these guidelines, providing useful information for an antibiotic stewardship policy.

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2019年法国皮肤和软组织感染指南出台后，红斑性溃疡抗生素处方持续时间显著缩短：前后对比研究。

背景：法国于2019年发布了新的皮肤和软组织感染（SSTI）指南，改变了推荐的抗生素治疗持续时间。本研究旨在评估 2019 年法国 SSTI 指南的发布对红斑性溃疡抗生素处方持续时间的影响：在一项前后对比研究中（2019年4月1日前一年和2019年4月1日后一年），我们纳入了兰斯大学医院内科病房和急诊科所有确诊为红斑狼疮的成年患者。我们回顾性地检索了患者医疗档案中的抗生素处方持续时间：结果：在 "治疗前 "组的 50 名患者和 "治疗后 "组的 39 名患者中，"治疗后 "组患者的平均抗生素处方持续时间明显缩短（9.4 ± 2.8 天 vs. 12.4 ± 3.8 天，p = 0.0001）：结论：实施这些指南后，红斑性溃疡的抗生素处方时间缩短了 25%，为抗生素管理政策提供了有用的信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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