Impact of clinical decision support on empirical antibiotic prescribing for children with community-acquired pneumonia
| Autor: | Mona Mostaghim, Tom Snelling, Yean H Ewe, Beata Bajorek, Brendan McMullan |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class business.industry Antibiotics medicine.disease Clinical decision support system High fever Antibiotic prescribing 03 medical and health sciences Pneumonia 0302 clinical medicine Community-acquired pneumonia 030225 pediatrics Internal medicine Lower respiratory tract infection Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine Antibiotic use business |
| Zdroj: | Journal of Paediatrics and Child Health. 55:305-311 |
| ISSN: | 1034-4810 |
| Popis: | AIM To assess the impact of a computerised clinical decision support system (CDSS) on antibiotic use in hospitalised children with a presumptive diagnosis of uncomplicated community-acquired pneumonia (CAP). METHODS Codes associated with lower respiratory tract infection were used to identify cases of presumed uncomplicated CAP requiring admission to a tertiary paediatric hospital. Random sampling of the periods between 1 October 2010 and 30 September 2012 (pre-CDSS) and 1 October 2012 and 30 September 2014 (post-CDSS) determined the sequence of case assessment by two independent investigators. Initial antibiotic therapy, associated CDSS approvals and documented signs of clinical deterioration prior to antibiotic decision-making were recorded. RESULTS Statistically significant differences between cases pre- and post-CDSS implementation were minimal. High fever was observed in 57.5% (77/134) cases pre-CDSS and 45.8% (49/107) cases post-CDSS (P = 0.07). Supplemental oxygen was used in 30.6% pre-CDSS and 54.2% post-CDSS cases (P |
| Databáze: | OpenAIRE |
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