Effects of Timely Antibiotic Administration and Culture Acquisition on the Treatment of Urinary Tact Infection
| Autor: | Richard M. Allman, Robert Farmer, Patricia A. Burgess, Wen Xu, Hugh M. Hood |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.drug_class Urinary system Antibiotics 030204 cardiovascular system & hematology Tact Medicare Random Allocation 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care parasitic diseases medicine Humans 030212 general & internal medicine Intensive care medicine Aged Retrospective Studies business.industry Health Policy Length of Stay United States Anti-Bacterial Agents Urinary Tract Infections Female Principal diagnosis business Administration (government) |
| Zdroj: | American Journal of Medical Quality. 13:195-202 |
| ISSN: | 1555-824X 1062-8606 |
| Popis: | The purpose of this study was to assess the timeliness of initial antibiotic administration and culture acquisition for Medicare patients discharged with a principal diagnosis of urinary tract infection. The main outcome measurement was reduced length of stay. Data were collected retrospectively from 24,389 randomly selected discharged Medicare patients from September 1, 1994, to August 31, 1995. Only 61% of the cases as urinary tract infection had adequate criteria to confirm the diagnosis. Of these cases, antibiotics were administered within 4 hr after presentation in 40.9% patients. Urine cultures within 24 hr of presentation were noted more frequently (94%)than blood cultures (66%). Urine cultures obtained before antibiotic administration were noted more frequently (82%) than were blood cultures (58%). Timely antibiotic administration and the acquisition of urine cultures in the first 24 hr of hospitalization were independently associated with shorter length of stay. |
| Databáze: | OpenAIRE |
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