{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T08:43:24Z","timestamp":1780562604897,"version":"3.54.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100016394","name":"ANR","doi-asserted-by":"publisher","award":["#ANR-20-PAMR-0008"],"award-info":[{"award-number":["#ANR-20-PAMR-0008"]}],"id":[{"id":"10.13039\/501100016394","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Antibiotic resistance in nursing homes (NHs) is inconsistently tackled by antimicrobial stewardship programmes. The literature on individual determinants of antibiotic prescriptions (APs) in NHs is extensive. However, less is known about the structural determinants of AP in NHs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To examine how different organizational contexts influenced interprofessional collaboration in the diagnosis and treatment of infections in NHs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted multiple case study observational research through field notes and sketches from pictures of NH layouts.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We observed three NHs for 10\u2005days (i.e. 82\u2005h). We inductively identified four successive steps: (i) trigger by an assistant nurse, (ii) internal decision-making, (iii) calling on an external general practitioner (GP) and (iv) GP intervention. Diagnosis and treatment of infections involved various degrees of interprofessional collaboration within NHs, resulting in a range of actions, more or less directly involving AP by external GPs. In the case of onsite AP, external GPs barely relied on information about residents provided by NH professionals and did not provide any feedback regarding their decision, resulting in limited interprofessional collaboration. In contrast, remote AP (through phone calls) relied on interprofessional collaboration through mandatory exchanges between external GPs and NH nurses about the resident\u2019s symptoms and signs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Diagnosis and treatment of infections through AP involved two distinct organization types (institutional versus private practices) and often lacked interprofessional collaboration. Future antimicrobial stewardship in NHs should consider (i) improving the connection between these two organizations and (ii) developing tools to support remote interprofessional collaboration to sustain prescription.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jacamr\/dlae205","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T03:12:52Z","timestamp":1736737972000},"source":"Crossref","is-referenced-by-count":1,"title":["Exploration of interprofessional collaboration for the diagnosis of infections and antibiotic prescription in nursing homes using multiple case study observational research"],"prefix":"10.1093","volume":"7","author":[{"given":"Damien","family":"Gonthier","sequence":"first","affiliation":[{"name":"Inserm, INSPIIRE, Universit\u00e9 de Lorraine , Nancy F-54000 ,","place":["France"]},{"name":"Centre R\u00e9gional en Antibioth\u00e9rapie, CHRU-Nancy , Nancy F-54000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6760-1674","authenticated-orcid":false,"given":"Laetitia","family":"Ricci","sequence":"additional","affiliation":[{"name":"Inserm, INSPIIRE, Universit\u00e9 de Lorraine , Nancy F-54000 ,","place":["France"]},{"name":"CIC, Epid\u00e9miologie Clinique, INSERM, CHRU-Nancy, Universit\u00e9 de Lorraine , Nancy F-54000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Buzzi","sequence":"additional","affiliation":[{"name":"Inserm, INSPIIRE, Universit\u00e9 de Lorraine , Nancy F-54000 ,","place":["France"]},{"name":"CIC, Epid\u00e9miologie Clinique, INSERM, CHRU-Nancy, Universit\u00e9 de Lorraine , Nancy F-54000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Birgand","sequence":"additional","affiliation":[{"name":"Regional Center for Infection Prevention and Control, Region of Pays de la Loire, Nantes University Hospital , Nantes ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00eblle","family":"Kivits","sequence":"additional","affiliation":[{"name":"Inserm, ECEVE, Universit\u00e9 Paris Cit\u00e9 , Paris F-75010 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelly","family":"Agrinier","sequence":"additional","affiliation":[{"name":"Inserm, INSPIIRE, Universit\u00e9 de Lorraine , Nancy F-54000 ,","place":["France"]},{"name":"CIC, Epid\u00e9miologie Clinique, INSERM, CHRU-Nancy, Universit\u00e9 de Lorraine , Nancy F-54000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"2025022008184350600_dlae205-B1","doi-asserted-by":"publisher","first-page":"1196","DOI":"10.1016\/S0140-6736(09)61460-4","article-title":"Ageing populations: the challenges ahead","volume":"374","author":"Christensen","year":"2009","journal-title":"Lancet"},{"key":"2025022008184350600_dlae205-B2","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1016\/S0140-6736(15)00516-4","article-title":"The world report on ageing and health: a policy framework for healthy ageing","volume":"387","author":"Beard","year":"2016","journal-title":"Lancet"},{"key":"2025022008184350600_dlae205-B3","doi-asserted-by":"publisher","first-page":"1800394","DOI":"10.2807\/1560-7917.ES.2018.23.46.1800394","article-title":"Antimicrobial use in European long-term care facilities: results from the third point prevalence survey of healthcare-associated infections and antimicrobial use, 2016 to 2017","volume":"23","author":"Ricchizzi","year":"2018","journal-title":"Euro Surveill"},{"key":"2025022008184350600_dlae205-B4","volume-title":"Enqu\u00eate Nationale de Pr\u00e9valence des Infections Associ\u00e9es aux Soins et des Traitements Antibiotiques en \u00c9tablissements D\u2019h\u00e9bergement Pour Personnes \u00e2g\u00e9es D\u00e9pendantes. 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