• C Lévin, N Thilly, M Dousak, G Beraud, M Klesnik, S Uhan, D Nathwani, B Beovic, C Pulcini, and ESGAP (the European Society of Clinical Microbiology [ESCMID], Infectious Diseases Study Group for Antimicrobial stewardshiP).
• EA 4360 APEMAC, faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Fôret-de-Haye, BP 20199, 54505 Nancy, France. Electronic address: levincecile@gmail.com.
• Med Mal Infect. 2019 Jun 1; 49 (4): 241-249.

ObjectivesTo assess the perceptions, attitudes, and practices of French junior physicians regarding antibiotic use and resistance, and then to identify the characteristics of junior physicians associated with appropriate practices of antibiotic use.MethodEuropean junior physicians received an email invitation to complete a 49 item web questionnaire between September 2015 and January 2016. We present the French data. Multivariate regression models were used to identify the characteristics of junior physicians associated with appropriate prescription practices and with consideration of the antibiotic prescription consequences.ResultsThe questionnaire was completed by 641 junior physicians: family medicine (37%), other medical specialties (e.g., pediatrics, internal medicine, neurology: 45%), surgical specialties (11%), and anesthesiology-intensive care specialty (7%). Most respondents (93%) declared being aware of the risk of bacterial resistance and 41% acknowledged prescribing antibiotics more often than necessary. Two factors were independently associated with appropriate prescription practices: a high perceived level of education on antibiotic use (OR=1.51; 95% CI [1.01-2.30]) and a medical specialty (OR=1.69; 95% CI [1.16-2.46]). Factors independently associated with taking into account adverse events of antibiotics were a good perceived knowledge of antibiotics (OR=3.71; 95% CI [2.09-6.61]), and a high perceived education level on antibiotics (OR=1.70; 95% CI [1.11-2.58]).ConclusionOur data can help better define interventions targeting junior physicians in antibiotic stewardship programs.Copyright © 2018. Published by Elsevier Masson SAS.

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