Reducing inappropriate third-generation cephalosporin use for community-acquired pneumonia in a small Australian emergency department

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منابع مشابه

Improved management of community-acquired pneumonia in the emergency department.

OBJECTIVES To determine the impact of implementing clinical practice guidelines (CPGs) in the treatment of community-acquired pneumonia (CAP) in the emergency department (ED) by analyzing case management decisions (admission or discharge, appropriateness and timeliness of antibiotic therapy, complementary tests) and the consequent results (clinical stabilization time, length of hospital stay, r...

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Use of intravenous antibiotics for the treatment of community-acquired pneumonia in the emergency department

STUDY OBJECTIVE To determine the extent of intravenous (IV) antibiotic use for community-acquired pneumonia (CAP) in emergency departments, the practice patterns in seven emergency departments serving the adult residents of one Canadian city were observed. METHODS An observational study of nonhospitalized adults diagnosed with CAP in seven emergency departments was conducted between November ...

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Treatment of community-acquired pneumonia in the elderly: the role of cefepime, a fourth-generation cephalosporin.

In a prospective, multicentre double-blind trial, 151 patients over the age of 65 years were randomly assigned to receive either cefepime 2 g every 12 h for a minimum of 3 days and up to 14 days or ceftriaxone 1 g every 12 h for a minimum of 3 days and up to 14 days. Antibiotics were maintained until 48 h after fever had resolved; no other antibiotics were permitted. The average age in each gro...

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Clinical implications for patients treated inappropriately for community-acquired pneumonia in the emergency department

BACKGROUND Community-acquired pneumonia (CAP) is one of the most common infections presenting to the emergency department (ED). Increasingly, antibiotic resistant bacteria have been identified as causative pathogens in patients treated for CAP, especially in patients with healthcare exposure risk factors. METHODS We retrospectively identified adult subjects treated for CAP in the ED requiring...

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Implementation of an intensified antibiotic stewardship programme targeting third-generation cephalosporin and fluoroquinolone use in an emergency medicine department.

INTRODUCTION Early initiation of antimicrobial treatment for acute infection is an important task in the emergency department (ED) with a likely impact on the hospital-wide antibiotic use pattern. We implemented an antibiotic stewardship (ABS) programme focused on non-trauma emergency patients at a large university hospital centre targeting broad-spectrum cephalosporin and fluoroquinolone use. ...

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ژورنال

عنوان ژورنال: Infection, Disease & Health

سال: 2018

ISSN: 2468-0451

DOI: 10.1016/j.idh.2018.05.001