Adherence to antimicrobial prophylaxis guidelines in cardiac implantable electronic device procedures in two Australian teaching hospitals
Autor: | Roya Karimaei, Zachiah Nizich, Paul Stobie, Jason Seet, Leanne Chalmers, Adam L Hort, Sok Ling Yee, Taylor Huston, Duncan McLellan, Petra Czarniak, Monique Almonte, Matthew Rawlins |
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Rok vydání: | 2021 |
Předmět: |
Methicillin-Resistant Staphylococcus aureus
Staphylococcus aureus medicine.medical_specialty business.industry Health Policy Medical record Australia Retrospective cohort study Antimicrobial Anti-Bacterial Agents Anti-Infective Agents Emergency medicine Humans Medicine Antimicrobial stewardship In patient Guideline Adherence Prospective Studies Dosing Electronics Antibiotic prophylaxis Medical prescription Hospitals Teaching business Retrospective Studies |
Zdroj: | Australian Health Review. 45:761-770 |
ISSN: | 1449-8944 0156-5788 |
DOI: | 10.1071/ah21046 |
Popis: | Objective This study investigated antibiotic prophylaxis (AP) guideline adherence and the cardiac implantable electronic device (CIED) infection rate in two major Australian public teaching hospitals. Methods In a retrospective observational study, the medical records of patients who underwent CIED procedures between January and December 2017 were reviewed (Hospital A, n = 400 procedures; Hospital B, n = 198 procedures). Adherence to AP guidelines was assessed regarding drug, dose, timing, route and frequency. Infection was identified using follow-up documentation. Results AP was administered in 582 of 598 procedures (97.3%). Full guideline adherence was observed in 33.9% of procedures (203/598) and differed significantly between Hospitals A and B (47.3% vs 7.1%, respectively; P |
Databáze: | OpenAIRE |
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