Managing adult patients with infectious diseases in emergency departments: international ID-IRI study
| Autor: | Cernat Roxana Carmen, Sholpan Kulzhanova, Yasemin Cag, Mohamed Elhassan Abbas Dafalla, Ozay Akyildiz, Amani El-Kholy, Ainur Sadykova, Ahmed Ashraf Wegdan, Anna Liskova, Jordi Rello, Fatma A. Amer, Ilyas Dokmetas, Behrouz Naghili, Natalia Dirani, Svjetlana Grgić, Michael M. Petrov, Sevil Alkan Ceviker, Jameela Alsalman, Jehan El-Kholy, Hakan Hasman, Serkan Oncu, Abu Hena Mostafa Kamal, Kalyan Koganti, Yasemin Yildiz-Kirazaldi, Mateja Jankovic Makek, Hulya Caskurlu, Rusmir Baljic, Selda Aslan, Razi Even Dar, Sergio Ramirez-Estrada, Mateja Logar, Cansu Bulut-Avsar, Joanna Zajkowska, Rosa Fontana Del Vecchio, Handan Alay, Aidos K Konkayev, Marzena Wojewodzka-Zelezniakowicz, Sally Hargreaves, Hakan Erdem, Amjad Mahboob, Ferran Llopis, Dumitru Irina Mgdalena, Ergys Ramosaco, Dilek Bulut, Ameen S. S. Alwashmi, Nikolay Mladenov, Esam Abdalla, Nirav Pandya, Lorenza Lambertenghi, Mustafa Altindiş, Hema Prakash Kumari, Andrea Marino, Yvon Ruch, Filiz Kizilates, Dirar Abdallah, Emine Kubra Dindar-Demiray, Antonio Cascio, Meliha Meric-Koc, Asiye Bahar-Kacmaz, Rehab H. El-Sokkary, Meltem Taşbakan, Ridvan Karaali, Handan Ankarali, Helena Monzón-Camps, Ilad Alavi-Darazam, Ghaydaa A. Shehata, Merve Sefa-Sayar, Fatma Kesmez-Can |
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| Přispěvatelé: | Ege Üniversitesi, MERİÇ KOÇ, MELİHA, Erdem H., Hargreaves S., Ankarali H., Caskurlu H., Ceviker S.A., Bahar-Kacmaz A., Meric-Koc M., Altindis M., Yildiz-Kirazaldi Y., Kizilates F., Alsalman J., Cag Y., Kamal A.H.M., Dokmetas I., Dindar-Demiray E.K., Shehata G.A., Hasman H., Sadykova A., Llopis F., Ramosaco E., Logar M., Alay H., Kesmez-Can F., Ruch Y., Bulut D., Makek M.J., Marino A., Mahboob A., El-Kholy A., Abdallah D., Sefa-Sayar M., Karaali R., Aslan S., Dar R.E., Abdalla E., Monzon-Camps H., Baljic R., Mgdalena D.I., Naghili B., Abbas Dafalla M.E., Alwashmi A.S.S., Carmen C.R., Ramirez-Estrada S., Wojewodzka-Zelezniakowicz M., Akyildiz O., Zajkowska J., El-Sokkary R., Pandya N., Amer F., Alavi-Darazam I., Grgic S., Wegdan A.A., El-Kholy J., Bulut-Avsar C., Kulzhanova S., Tasbakan M., Kumari H.P., Dirani N., Koganti K., Konkayev A.K., Petrov M.M., Cascio A., Liskova A., Del Vecchio R.F., Lambertenghi L., Mladenov N., Oncu S., Rello J. |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Point prevalence survey medicine.medical_specialty Urologic Neoplasms Referral international ID-IRI study- JOURNAL OF CHEMOTHERAPY 2021 [Erdem H. Hargreaves S. ANKARALI H. ÇAŞKURLU H. Ceviker S. A. Bahar-Kacmaz A. Meric-Koc M. ALTINDİŞ M. Yildiz-Kirazaldi Y. Kizilates F. et al. -Managing adult patients with infectious diseases in emergency departments] medicine.drug_class Organ Dysfunction Scores 030106 microbiology Antibiotics Practice Patterns emergency antibiotic elderly infection sepsis treatment Global Health Communicable Diseases Sepsis Hospital 03 medical and health sciences 0302 clinical medicine medicine Humans Pharmacology (medical) Practice Patterns Physicians' Developing Countries Respiratory Tract Infections Pharmacology Emergency Service Physicians' Adult patients business.industry Patient Acuity Antimicrobial medicine.disease humanities Drug Utilization Anti-Bacterial Agents Infectious Diseases Oncology 030220 oncology & carcinogenesis Emergency medicine Emergency sepsi business Emergency Service Hospital |
| Zdroj: | Journal of chemotherapy (Florence, Italy). 33(5) |
| ISSN: | 1973-9478 |
| Popis: | We aimed to explore factors for optimizing antimicrobial treatment in emergency departments. A single-day point prevalence survey was conducted on January 18, 2020, in 53 referral/tertiary hospitals in 22 countries. 1957 (17%) of 11557 patients presenting to EDs had infections. The mean qSOFA score was 0.37 +/- 0.74. Sepsis (qSOFA >= 2) was recorded in 218 (11.1%) patients. The mean qSOFA score was significantly higher in low-middle (1.48 +/- 0.963) compared to upper-middle (0.17 +/- 0.482) and high-income (0.36 +/- 0.714) countries ( P < 0.001). Eight (3.7%) patients with sepsis were treated as outpatients. The most common diagnoses were upper-respiratory (n = 877, 43.3%), lower-respiratory (n = 316, 16.1%), and lower-urinary (n = 201, 10.3%) infections. 1085 (55.4%) patients received antibiotics. The most-commonly used antibiotics were beta-lactam (BL) and BL inhibitors (n = 307, 15.7%), third-generation cephalosporins (n = 251, 12.8%), and quinolones (n = 204, 10.5%). Irrational antibiotic use and inappropriate hospitalization decisions seemed possible. Patients were more septic in countries with limited resources. Hence, a better organizational scheme is required. |
| Databáze: | OpenAIRE |
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