Are Antibiotics Useful in Acute Chronic Obstructive Pulmonary Disease Exacerbations? Implications for APRN Practice
| Autor: | Dian Dowling Evans, Tova Safier Frenkel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
COPD Advanced Practice Nursing business.industry medicine.drug_class Antibiotics MEDLINE Context (language use) Emergency Nursing Placebo medicine.disease Intensive care unit law.invention Anti-Bacterial Agents Pulmonary Disease Chronic Obstructive Randomized controlled trial law Emergency Medicine medicine Disease Progression Humans Intensive care medicine business Adverse effect Randomized Controlled Trials as Topic |
| Zdroj: | Advanced emergency nursing journal. 42(3) |
| ISSN: | 1931-4493 |
| Popis: | The Research to Practice column aims to provide advanced practice registered nurses (APRNs) with an analysis of current research topics with implications for practice change within emergency care settings. The article, "Antibiotics for Exacerbations of Acute Chronic Obstructive Pulmonary Disease?" conducted by D. Vollenweider, A. Frei, C. Streurer-Stey, J. Garcia-Aymerich, and M.A. Puhan (2018), examines a Cochrane systematic review and meta-analysis of randomized controlled trials. The investigators evaluate the findings that compare clinical outcomes including adverse events, re-exacerbation, treatment failure, and mortality among intensive care unit patients, inpatient, and outpatient populations treated with antibiotics or placebo medications for acute chronic obstructive pulmonary disease (COPD) exacerbations. The findings are discussed in the context of narrowing the evidence gap to improve clinical recommendations. Their findings have implications for APRN practice, including the signs and symptoms associated with an underlying bacterial triggered COPD exacerbation and the patient populations most likely to benefit from antibiotic therapy. |
| Databáze: | OpenAIRE |
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