Clinical Pharmacist Management of Bacteremia in a Community Hospital Emergency Department

Waters, C. Dustin; Myers, Kevin P.; Bitton, Bryce J.; Torosyan, Annie

doi:10.1177/1060028016688226

Cited by 9 publications

(8 citation statements)

References 22 publications

(37 reference statements)

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“…Bloodstream infections (BSI) have been noted to be among the top 7 causes of mortality in Europe and North America [Waters at al, 2017]. BSI acquired in hospitals are generally associated with signi cant patient morbidity and mortality worldwide and can trigger septic shock with multiple organ failure, which increases mortality, time and hospitalization costs [Riu et al, 2017].…”

Section: Introductionmentioning

confidence: 99%

Bacterial Distribution and Susceptibility in Bloodstream Infection in Primary-Care Hospital in Nova Friburgo, Rio de Janeiro

Schimidt¹,

Conde²,

Silva³

et al. 2020

Preprint

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Human blood is sterile. When there is an infection, microorganisms can reach the bloodstream, which is known as bacteremia. This can be detected by blood culture. To study the prevalence of microorganisms isolated from blood culture samples. One hundred thirty-seven blood cultures were collected from hospitalized patients. All blood samples were processed for culture using a BACT/Alert blood culture machine. Further identification of bacterial pathogens and their antimicrobial susceptibility test were performed using standard microbiological procedures.Among these samples, 20.44% had a positive culture, 60.71% of which belonged to females and 39.29% were from male patients. The most common microorganisms found in positive blood cultures were coagulase negative Staphylococcus (33.33%), Staphylococcus aureus (23.33%), Klebsiella pneumoniae (6.70%), and Escherichia coli (6.66%). One sample showed an ESBL-producing E. coli. Gram-positive microorganisms were 100% susceptible to vancomycin and displayed considerable resistance to oxacillin. Many Gram-negative bacteria were resistant to cephalosporins.

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Section: Introductionmentioning

confidence: 99%

Bacterial Distribution and Susceptibility in Bloodstream Infection in Primary-Care Hospital in Nova Friburgo, Rio de Janeiro

Schimidt¹,

Conde²,

Silva³

et al. 2020

Preprint

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show abstract

“…11 To date, ASP and pharmacist involvement in the care of patients with infectious diseases has been shown to improve antimicrobial selection, decrease time to initiation of optimal therapy, and reduce readmission rates. [12][13][14] The ASP at Northwestern Memorial Hospital (NMH) includes physician-pharmacist collaboration to enhance anti-infective use by providing guidance for the most appropriate drug selection, drug dose, and treatment duration. In addition to in-person guidance, hospital staff members have access to electronic anti-infective resources.…”

Section: Introductionmentioning

confidence: 99%

Analysis of an Infectious Diseases Pharmacist on Call Pager Program to Inform Educational Efforts

Gilbert

Rhodes

McLaughlin

et al. 2017

Journal of Pharmacy Technology

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Background: An on call infectious diseases (ID) pharmacist may be used as a resource for physicians, pharmacists, and other health care providers to help answer questions regarding anti-infective agents. Objective: To assess type, requestor, resources dedicated, and temporal trends of questions received through an ID pharmacist on call pager program. A secondary objective was to gather insight as to how this information was utilized to inform educational initiatives. Methods: This was a retrospective study of questions received by the ID pharmacist on call via pager at a large academic medical center. Question data were documented in a central database and analyzed to assess temporal trends and question type, and qualitatively analyzed to determine areas for targeted educational efforts. Results: The ID pharmacist on call recorded 545 questions during the 1-year study period; questions were composed of various antimicrobial agent-related queries, including antibiotic spectrum and selection (n = 251, 46.1%), dosing of antimicrobials (n = 195, 35.8%), and drug monitoring (n = 26, 4.8%). Targeted educational initiatives secondary to questions received included pharmacist education regarding the use of polymyxin antibiotics and antibiotic dosing protocol updates. Conclusions: An ID pharmacist on call pager program was utilized to inquire about antibiotic spectrum and selection for the majority of questions. Records of questions received may be utilized to direct educational efforts and create or revise targeted resources for pharmacists and other clinicians.

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“…The recent article by Waters et al 1 comparing management of bacteremia in a community hospital emergency department (ED) by physicians or clinical pharmacists raised several concerns.…”

mentioning

confidence: 99%

“…. were somewhat arbitrary.” 1 Does this really allow the authors to provide no pathways/protocols/guidelines for treatment of these patients? No agents, routes, or durations?…”

mentioning

confidence: 99%

Comment: Clinical Pharmacist Management of Bacteremia in a Community Hospital Emergency Department

Gimbar

2017

Ann Pharmacother

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Clinical Pharmacist Management of Bacteremia in a Community Hospital Emergency Department

Abstract: Pharmacist involvement in the management of bacteremia in the ED was associated with higher rates of appropriate treatment and a corresponding decrease in the rates of attributable 90-day admission or readmission to the hospital or ED.

Cited by 9 publications

References 22 publications

Bacterial Distribution and Susceptibility in Bloodstream Infection in Primary-Care Hospital in Nova Friburgo, Rio de Janeiro

Bacterial Distribution and Susceptibility in Bloodstream Infection in Primary-Care Hospital in Nova Friburgo, Rio de Janeiro

Analysis of an Infectious Diseases Pharmacist on Call Pager Program to Inform Educational Efforts

Comment: Clinical Pharmacist Management of Bacteremia in a Community Hospital Emergency Department

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