急诊科抗生素选择对住院患者尿路感染抗生素治疗适宜性的影响。
Impact of antibiotic choices made in the emergency department on appropriateness of antibiotic treatment of urinary tract infections in hospitalized patients.
作者信息
Kiyatkin Dmitry, Bessman Edward, McKenzie Robin
机构信息
Collaborative Inpatient Medical Service, Department of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland.
Department of Emergency Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland.
出版信息
J Hosp Med. 2016 Mar;11(3):181-4. doi: 10.1002/jhm.2508. Epub 2015 Nov 12.
BACKGROUND
Overuse of antibiotics to treat urinary tract infections (UTIs) is common in hospitalized patients and may begin in the emergency department (ED).
METHODS
For a 4-week period we reviewed medical records of all patients admitted to the hospital who initiated treatment for a UTI in the ED.
RESULTS
According to study criteria, initiation of antibiotics was inappropriate for 55 of 94 patients (59% [95% confidence interval {CI}, 48%-69%]), and continuation after admission was inappropriate for 54 of 80 patients (68% [95% CI, 57%-78%]).
CONCLUSION
Failure to reevaluate the need for antibiotics initiated in the ED to treat UTIs may lead to overuse of antibiotics in hospitalized patients.
背景
住院患者中过度使用抗生素治疗尿路感染（UTIs）的情况很常见，且可能始于急诊科（ED）。
方法
在为期4周的时间里，我们回顾了所有在急诊科开始治疗UTIs并入院的患者的病历。
结果
根据研究标准，94例患者中有55例（59%[95%置信区间{CI}，48%-69%]）抗生素起始使用不当，80例患者中有54例（68%[95%CI，57%-78%]）入院后继续使用不当。
结论
未能重新评估在急诊科开始使用抗生素治疗UTIs的必要性可能导致住院患者抗生素的过度使用。
Zotero 插件