TY - JOUR
T1 - Antibiotic guidelines for community-acquired pneumonia
T2 - Are they effective and do physicians comply?
AU - Amodio-Groton, Maria
AU - Sinnett, Mark J.
AU - Culshaw, Darren
AU - Leviton, Ira M.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/8/1
Y1 - 2003/8/1
N2 - Antibiotic guidelines for common infectious diseases, including community-acquired pneumonia (CAP), were instituted at the Moses Division of Montefiore Medical Center, Bronx, NY. The effect of these guidelines on antibiotic prescribing by physicians and on clinical response in patients with CAP was measured. The study was conducted in 2 phases. In phase I, baseline data for 51 randomly selected inpatients were gathered. In phase II, physician compliance with guidelines was measured for 47 patients. Demographic information, Fine score, antibiotic therapy, time to initiation of antibiotic, blood and sputum culture results, time receiving intravenous antibiotics, mortality, and length of stay (LOS) were measured. Data from phases I and II were compared, and these data were compared with a national benchmark database of 3504 patients. Antibiotic guidelines were found to improve the initial selection of antibiotics for patients requiring hospitalization for CAP, decrease time to initiation of treatment, decrease duration of intravenous antibiotic therapy, and decrease duration of hospital LOS. Antibiotic use was affected by the severity of underlying pneumonia in the population.
AB - Antibiotic guidelines for common infectious diseases, including community-acquired pneumonia (CAP), were instituted at the Moses Division of Montefiore Medical Center, Bronx, NY. The effect of these guidelines on antibiotic prescribing by physicians and on clinical response in patients with CAP was measured. The study was conducted in 2 phases. In phase I, baseline data for 51 randomly selected inpatients were gathered. In phase II, physician compliance with guidelines was measured for 47 patients. Demographic information, Fine score, antibiotic therapy, time to initiation of antibiotic, blood and sputum culture results, time receiving intravenous antibiotics, mortality, and length of stay (LOS) were measured. Data from phases I and II were compared, and these data were compared with a national benchmark database of 3504 patients. Antibiotic guidelines were found to improve the initial selection of antibiotics for patients requiring hospitalization for CAP, decrease time to initiation of treatment, decrease duration of intravenous antibiotic therapy, and decrease duration of hospital LOS. Antibiotic use was affected by the severity of underlying pneumonia in the population.
KW - Antibiotic guidelines
KW - Community-acquired pneumonia
KW - Empiric treatment
KW - Length of stay
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M3 - Article
AN - SCOPUS:0041762040
SN - 1080-5826
VL - 15
SP - 40
EP - 46
JO - Drug Benefit Trends
JF - Drug Benefit Trends
IS - 8
ER -