BibTex format
@article{Peiffer-Smadja:2020:10.2196/17940,
author = {Peiffer-Smadja, N and Poda, A and Ouedraogo, A-S and Guiard-Schmid, J-B and Delory, T and Le, Bel J and Bouvet, E and Lariven, S and Jeanmougin, P and Ahmad, R and Lescure, F-X},
doi = {10.2196/17940},
journal = {J Med Internet Res},
title = {Paving the Way for the Implementation of a Decision Support System for Antibiotic Prescribing in Primary Care in West Africa: Preimplementation and Co-Design Workshop With Physicians.},
url = {http://dx.doi.org/10.2196/17940},
volume = {22},
year = {2020}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - BACKGROUND: Suboptimal use of antibiotics is a driver of antimicrobial resistance (AMR). Clinical decision support systems (CDSS) can assist prescribers with rapid access to up-to-date information. In low- and middle-income countries (LMIC), the introduction of CDSS for antibiotic prescribing could have a measurable impact. However, interventions to implement them are challenging because of cultural and structural constraints, and their adoption and sustainability in routine clinical care are often limited. Preimplementation research is needed to ensure relevant adaptation and fit within the context of primary care in West Africa. OBJECTIVE: This study examined the requirements for a CDSS adapted to the context of primary care in West Africa, to analyze the barriers and facilitators of its implementation and adaptation, and to ensure co-designed solutions for its adaptation and sustainable use. METHODS: We organized a workshop in Burkina Faso in June 2019 with 47 health care professionals representing 9 West African countries and 6 medical specialties. The workshop began with a presentation of Antibioclic, a publicly funded CDSS for antibiotic prescribing in primary care that provides personalized antibiotic recommendations for 37 infectious diseases. Antibioclic is freely available on the web and as a smartphone app (iOS, Android). The presentation was followed by a roundtable discussion and completion of a questionnaire with open-ended questions by participants. Qualitative data were analyzed using thematic analysis. RESULTS: Most of the participants had access to a smartphone during their clinical consultations (35/47, 74%), but only 49% (23/47) had access to a computer and none used CDSS for antibiotic prescribing. The participants considered that CDSS could have a number of benefits including updating the knowledge of practitioners on antibiotic prescribing, improving clinical care and reducing AMR, encouraging the establishment of national guidelines, and deve
AU - Peiffer-Smadja,N
AU - Poda,A
AU - Ouedraogo,A-S
AU - Guiard-Schmid,J-B
AU - Delory,T
AU - Le,Bel J
AU - Bouvet,E
AU - Lariven,S
AU - Jeanmougin,P
AU - Ahmad,R
AU - Lescure,F-X
DO - 10.2196/17940
PY - 2020///
TI - Paving the Way for the Implementation of a Decision Support System for Antibiotic Prescribing in Primary Care in West Africa: Preimplementation and Co-Design Workshop With Physicians.
T2 - J Med Internet Res
UR - http://dx.doi.org/10.2196/17940
UR - https://www.ncbi.nlm.nih.gov/pubmed/32442155
VL - 22
ER -
