El Fahimi Nabil, Calleja Miguel Angel, Ratnayake Lasantha, Ali Imran
Department of Pharmacy, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, Norfolk, UK.
Department of Pharmacy, University Hospital Virgen de las Nieves, Granada, Spain.
Eur J Hosp Pharm. 2019 Jul;26(4):223-225. doi: 10.1136/ejhpharm-2017-001368. Epub 2017 Nov 24.
Community-acquired pneumonia (CAP) is a frequent cause of morbidity, mortality and hospital admission worldwide. An adequate choice of empirical antibiotic treatment and appropriate severity assessment of the disease are key aspects in the management of CAP.
To audit the adherence to standards of care, such as empirical prescribing of antibiotics, and evaluate the current multidisciplinary approach to the management of CAP.
Records of patients with CAP were identified and examined for CURB65 score documentation, discussion notes with microbiology and prescribed antibiotic treatments.
Out of the 62 patients identified, 32 had a CURB65 score documented in their medical notes and 59 had documented chest X-ray findings. 85.5% of cases were compliant with antibiotic prescribing guidelines.
The multidisciplinary approach has considerably improved compliance with most of the standards, especially adherence to empirical antibiotic guidelines, and ultimately the standard of care for patients with CAP.
社区获得性肺炎（CAP）是全球范围内发病、死亡及住院的常见原因。合理选择经验性抗生素治疗以及对疾病进行恰当的严重程度评估是CAP管理的关键环节。
审核对护理标准的遵循情况，如抗生素的经验性处方，并评估当前CAP管理的多学科方法。
识别CAP患者的记录，并检查CURB65评分文件、与微生物学的讨论记录以及所开的抗生素治疗。
在识别出的62例患者中，32例在病历中有CURB65评分记录，59例有胸部X线检查结果记录。85.5%的病例符合抗生素处方指南。
多学科方法显著提高了对大多数标准的遵循程度，尤其是对经验性抗生素指南的遵守，最终改善了CAP患者的护理标准。
