Empiric antibiotic prescribing for patients with community-acquired pneumonia: where can we improve?
| Autor: | Marcus P Kennedy, Kirsty Buising, Jim Black, Karin A Thursky, Graham Brown, Alan C Street, Lachlan MacGregor |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.drug_class Antibiotics Antibiotic prescribing law.invention Anti-Infective Agents Community-acquired pneumonia law Antibiotic cover Internal Medicine medicine Humans Practice Patterns Physicians' Intensive care medicine Aged Aged 80 and over Medical Audit business.industry Pneumonia Middle Aged medicine.disease Intensive care unit Antibiotic coverage Community-Acquired Infections Atypical pneumonia Female Emergency Service Hospital business |
| Zdroj: | Internal Medicine Journal. 38:174-177 |
| ISSN: | 1444-0903 |
| Popis: | Background: Community acquired pneumonia is one of the most common infections for which antibiotics are prescribed in Australia. Methods: We audited empiric antibiotic prescribing for 392 adults with community-acquired pneumonia. Results: Only 61.9% of patients received empiric antibiotic coverage for both typical and atypical pathogens. Of those who required intensive care unit management, 34.6% did not receive antibiotic cover for atypical pneumonia pathogens within the first 24 h. Approximately 21.9% of patients reporting antibiotic allergies were given antibiotics to which they had a documented allergy. Conclusion: Efforts to improve prescribing practices could be focused towards identifying patients with severe illness early and improving recognition of documented allergies. |
| Databáze: | OpenAIRE |
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