Urinary tract infection pocket card effect on preferred antimicrobial prescribing for cystitis among patients discharged from the emergency department
| Autor: | Joshua Werth, Mark Anthony Mixon, Ryan Rogoszewski, Matthew Steven Martin, Alexander Theiler, Scott K Dietrich, Lindsey Spears, Gary D. Peksa, Erin Meister, Benjamin Bushong |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty medicine.drug_class Urinary system 030106 microbiology Antibiotics Pharmacist Post-intervention 03 medical and health sciences Practice Research Report 0302 clinical medicine Internal medicine Cystitis medicine Antimicrobial stewardship Humans 030212 general & internal medicine Retrospective Studies Pharmacology business.industry Health Policy Emergency department Antimicrobial Patient Discharge Anti-Bacterial Agents Nitrofurantoin Urinary Tract Infections AcademicSubjects/MED00410 business Emergency Service Hospital medicine.drug |
| Zdroj: | American Journal of Health-System Pharmacy: AJHP |
| ISSN: | 1535-2900 |
| Popis: | Purpose To evaluate the impact of a urinary tract infection (UTI) pocket card on preferred antibiotic prescribing for patients discharged from the emergency department (ED) with a diagnosis of cystitis. Methods A multicenter, retrospective, pre-post study was conducted to compare outcomes following the introduction of a UTI pocket card. The primary outcome was prescribing rates for institutional first-line preferred antibiotics (cephalexin and nitrofurantoin) versus other antimicrobials for cystitis. Secondary outcomes included prescriber adherence to recommended therapy in regards to discharge dose, frequency, duration, and healthcare utilization rates. Results The study included 915 patients in total, 407 in the preintervention group and 508 in the postintervention group. The frequency of preferred antibiotic prescribing was significantly increased after the introduction of a UTI pocket card compared to prior to its introduction (81.7% vs 72.0%, P = 0.001). Significant increases in prescribing of an appropriate antibiotic dose (78.0% vs 66.8%, P < 0.0001) and frequency (64.2% vs 47.4%, P < 0.0001) were also found post intervention. No significant differences were seen between the pre- and postintervention groups with regards to healthcare utilization rates. Conclusion A UTI pocket card increased preferred antibiotic prescribing for cystitis in the ED. This study provides data on a successful antimicrobial stewardship intervention in the ED setting. |
| Databáze: | OpenAIRE |
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