Impact of antibiotic choices made in the emergency department on appropriateness of antibiotic treatment of urinary tract infections in hospitalized patients
| Autor: | Robin McKenzie, Dmitry E. Kiyatkin, Edward S. Bessman |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
0301 basic medicine
Male Pediatrics medicine.medical_specialty Leadership and Management Hospitalized patients medicine.drug_class Urinary system 030106 microbiology Antibiotics Inappropriate Prescribing Assessment and Diagnosis 03 medical and health sciences 0302 clinical medicine Medicine Humans 030212 general & internal medicine Care Planning Aged Retrospective Studies business.industry Health Policy Medical record General Medicine Emergency department Confidence interval Hospital medicine Anti-Bacterial Agents Emergency medicine Urinary Tract Infections Fundamentals and skills Female business Emergency Service Hospital |
| Zdroj: | Journal of hospital medicine. 11(3) |
| ISSN: | 1553-5606 |
| Popis: | BACKGROUND Overuse of antibiotics to treat urinary tract infections (UTIs) is common in hospitalized patients and may begin in the emergency department (ED). METHODS For a 4-week period we reviewed medical records of all patients admitted to the hospital who initiated treatment for a UTI in the ED. RESULTS According to study criteria, initiation of antibiotics was inappropriate for 55 of 94 patients (59% [95% confidence interval {CI}, 48%-69%]), and continuation after admission was inappropriate for 54 of 80 patients (68% [95% CI, 57%-78%]). CONCLUSION Failure to reevaluate the need for antibiotics initiated in the ED to treat UTIs may lead to overuse of antibiotics in hospitalized patients. Journal of Hospital Medicine 2016;11:181–184. © 2015 Society of Hospital Medicine |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text