Audit des prescriptions d’antibiotiques dans les pneumonies aiguës communautaires de l’adulte dans un centre hospitalier universitaire

Martínez, J. Sarmiento; Falher, Georges Le; Corne, Philippe; Bourdin, Arnaud; Lequellec, A.; Delabre, Jean-Philippe; Makinson, Alain; Hansel, Sylvie; Reynes, Jacques; Moing, Vincent Le

doi:10.1016/j.medmal.2010.01.009

Cited by 3 publications

(2 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The of this service evaluation suggest a low level of adherence to prescribing guidelines in the treatment of community acquired pneumonia. Adherence rates were similar to the 16.1% demonstrated in an Australian study of 193 patients admitted with CAP [8], but fell well short of the 52.3% compliance found in a similarly sized study in a French teaching hospital [9]. In an Irish setting, an audit of antimicrobial prescribing in 69 hospitalised patients with CAP showed 21.6% compliance with guidelines [10].…”

Section: Discussionsupporting

confidence: 66%

A Service Evaluation of Adherence with Antimicrobial Guidelines in the Treatment of Community Acquired Pneumonia before and during the SARS-CoV-2 Outbreak

Howley

Keating

Kelly

et al. 2022

Preprint

View full text Add to dashboard Cite

Background:Antimicrobial stewardship is essential to reducing antimicrobial resistance, reducing costs and, crucially, ensuring good patient care. Community acquired pneumonia (CAP) is a common medical condition, the symptoms of which show significant overlap with those of Covid-19. Following the Covid-19 outbreak in Ireland, patients presenting to our hospital with features of a respiratory infection were more commonly reviewed within 24-hours of admission by an infectious disease (ID) or respiratory specialist.Aims:We aimed to assess how the change in service provision with increased frequency of specialist review in CAP during the first wave of the Covid-19 pandemic affected antimicrobial stewardship and prescribing practices. Methods:Patients treated for CAP from the months of March-April 2020 were included. Retrospective data including demographics, CURB-65 score, and antimicrobial therapy were collected. Data were compared with a similar cohort treated for CAP between November 2019 and January 2020. Results:76 patients were included from the March-April 2020 cohort, with 77 from November 2019-January 2020 for comparison. An ID or respiratory specialist reviewed 35 patients from the March-April cohort within 24 hours of admission. There was a higher rate of appropriate escalation, de-escalation and continuation of antibiotics among those reviewed. Less than 20% of patients were started on antibiotics in accordance with CAP guidelines on admission, though the antibiotics initiated were frequently deemed appropriate in the clinical setting.Conclusions:Specialist review increases rates of appropriate antimicrobial prescribing and adherence with hospital guidelines in patients with CAP.

show abstract

Section: Discussionsupporting

confidence: 66%

A Service Evaluation of Adherence with Antimicrobial Guidelines in the Treatment of Community Acquired Pneumonia before and during the SARS-CoV-2 Outbreak

Howley

Keating

Kelly

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…The results of this service evaluation suggest a low level of adherence to prescribing guidelines in the treatment of community-acquired pneumonia. Adherence rates were similar to the 16.1% demonstrated in an Australian study of 193 patients admitted with CAP [9], but fell well short of the 52.3% compliance found in a similarly sized study in a French teaching hospital [10]. In an Irish setting, an audit of antimicrobial prescribing in 69 hospitalized patients with CAP showed 21.6% compliance with guidelines [11].…”

Section: Discussionsupporting

confidence: 60%

A Service Evaluation of Adherence with Antimicrobial Guidelines in the Treatment of Community-Acquired Pneumonia Before and During the SARS-CoV-2 Outbreak

Howley

Keating

Kelly

et al. 2022

SN Compr. Clin. Med.

View full text Add to dashboard Cite

Antimicrobial stewardship is essential to reducing antimicrobial resistance, reducing costs, and, crucially, ensuring good patient care. Community-acquired pneumonia (CAP) is a common medical condition, the symptoms of which show a significant overlap with those of COVID-19. Following the COVID-19 outbreak in Ireland, patients presenting to our hospital with features of a respiratory infection were more commonly reviewed within 24 hours (24h) of admission by an infectious disease (ID) or respiratory specialist. We aimed to assess how the change in service provision, involving frequent specialist reviews of patients admitted with features of CAP during the first wave of the COVID-19 pandemic, affected antimicrobial stewardship and prescribing practices. Patients admitted under general medical teams treated for CAP from March-April 2020 were included. Retrospective data including demographics, CURB-65 score, and antimicrobial therapy were collected, as well as information on whether the patient had undergone specialist review by an ID or respiratory physician. Data were compared to a similar cohort treated for CAP between November 2019 and January 2020, though in this cohort, before the era of COVID-19, none of the patients had undergone specialist review. Seventy-six patients were included from the March-April 2020 cohort, with 77 from November 2019-January 2020 for comparison. An ID or respiratory specialist reviewed 35 patients from the March-April cohort within 24 h of admission. There was a higher rate of appropriate escalation, de-escalation, and continuation of antibiotics among those reviewed. Less than 20% of patients were started on antibiotics in accordance with CAP guidelines on admission, though the antibiotics initiated were frequently deemed appropriate in the clinical setting. Specialist review increases rates of appropriate antimicrobial prescribing and adherence with hospital guidelines in patients with CAP.

show abstract

Impacto de un programa de control de la calidad de la prescripción de antibióticos en un hospital de La Habana, Cuba

Garcell¹,

Socias²,

Sánchez³

et al. 2011

Rev Panam Salud Publica

View full text Add to dashboard Cite

Audit des prescriptions d’antibiotiques dans les pneumonies aiguës communautaires de l’adulte dans un centre hospitalier universitaire

Cited by 3 publications

References 20 publications

A Service Evaluation of Adherence with Antimicrobial Guidelines in the Treatment of Community Acquired Pneumonia before and during the SARS-CoV-2 Outbreak

A Service Evaluation of Adherence with Antimicrobial Guidelines in the Treatment of Community Acquired Pneumonia before and during the SARS-CoV-2 Outbreak

A Service Evaluation of Adherence with Antimicrobial Guidelines in the Treatment of Community-Acquired Pneumonia Before and During the SARS-CoV-2 Outbreak

Impacto de un programa de control de la calidad de la prescripción de antibióticos en un hospital de La Habana, Cuba

Contact Info

Product

Resources

About