Gil H, Grenier F, Leroy J, Tisserand G, Meaux-Ruault N, Magy-Bertrand N
Service de médecine interne, CHU Jean-Minjoz, 3, boulevard Flemming, 25000 Besançon, France.
Service de médecine interne, CHU Jean-Minjoz, 3, boulevard Flemming, 25000 Besançon, France.
Rev Med Interne. 2014 Apr;35(4):231-4. doi: 10.1016/j.revmed.2013.03.001. Epub 2013 Jul 9.
The objective of this study was to assess the application of local and national recommendations in the management of community-acquired pneumonia in an internal medicine department with an antibiotic referent physician and in an emergency department.
This was a retrospective single-center study including patients admitted with community-acquired pneumonia in the internal medicine department of the University Hospital of Besançon after an initial admission in the emergency department.
One hundred patients (58 women and 42 men) were included. The mean age was 79 ± 11 years. The prescriptions done in the emergency department were in accordance with local recommendations or Société de pathologie infectieuse de langue française (SPILF) recommendations in 62% of cases. The prescriptions followed the recommendations in 94% of cases in internal medicine department (P<0.05). The lack of initial antibiotic treatment had no influence on morbidity and mortality.
The guidelines for infectious diseases treatment were significantly more often applied in a department where a referent physician was designated for this.
本研究的目的是评估在设有抗生素会诊医师的内科和急诊科中，地方和国家建议在社区获得性肺炎管理中的应用情况。
这是一项回顾性单中心研究，纳入了在贝桑松大学医院急诊科首次就诊后因社区获得性肺炎入住内科的患者。
共纳入100例患者（58例女性和42例男性）。平均年龄为79±11岁。急诊科的处方在62%的病例中符合地方建议或法国感染病理学会（SPILF）的建议。内科的处方在94%的病例中遵循了建议（P<0.05）。初始未进行抗生素治疗对发病率和死亡率没有影响。
在指定了会诊医师的科室中，传染病治疗指南的应用明显更为频繁。
