Implementation of an antibiotic checklist increased appropriate antibiotic use in the hospital on Aruba
| Autor: | Elena Sánchez Rivas, Frederike V. van Daalen, Suzanne E. Geerlings, Jaclyn De Kort, Anouk Lagerburg |
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| Přispěvatelé: | Graduate School, 01 Internal and external specialisms, AII - Infectious diseases, APH - Quality of Care, Infectious diseases, Amsterdam institute for Infection and Immunity |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Adult Male Microbiology (medical) medicine.medical_specialty medicine.drug_class 030106 microbiology Antibiotics Psychological intervention Quality indicators Intervention lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Clinical endpoint Medicine Humans lcsh:RC109-216 030212 general & internal medicine Antibiotic use Intensive care medicine Aged Netherlands Quality Indicators Health Care Aged 80 and over Antibiotic stewardship Adult patients business.industry General Medicine Odds ratio Bacterial Infections Middle Aged Checklist Hospitals Anti-Bacterial Agents Infectious Diseases Intravenous antibiotics Emergency medicine Administration Intravenous Female business |
| Zdroj: | International Journal of Infectious Diseases, Vol 59, Iss C, Pp 14-21 (2017) International journal of infectious diseases : IJID, 59, 14-21. Elsevier |
| ISSN: | 1878-3511 1201-9712 |
| Popis: | Summary Objectives No interventions have yet been implemented to improve antibiotic use on Aruba. In the Netherlands, the introduction of an antibiotic checklist resulted in more appropriate antibiotic use in nine hospitals. The aim of this study was to introduce the antibiotic checklist on Aruba, test its effectiveness, and evaluate the possibility of implementing this checklist outside the Netherlands. Methods The antibiotic checklist includes seven quality indicators (QIs) that define appropriate antibiotic use. It applies to adult patients with a suspected bacterial infection, treated with intravenous antibiotics. The primary endpoint was the QI sum score, calculated by the patient's sum of performed checklist-items divided by the total number of QIs that applied to that specific patient. Outcomes before and after the introduction of the checklist were compared. Results The percentage of patients with a QI sum score ≥50% increased significantly during the intervention ( n =173) compared to baseline ( n =150) (odds ratio 3.67, p 0.001). However, performance did not improve on each individual QI. The checklist was used in 63.3% of the eligible patients. Conclusions The introduction of the antibiotic checklist increased appropriate antibiotic use on Aruba. Additional initiatives are necessary for further improvement per QI. These results suggest that the antibiotic checklist could be used internationally. |
| Databáze: | OpenAIRE |
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