1326Validation of the Antibiotic Spectrum Score Method to Measure Antibiotic De-escalation (AD) Utilizing Electronic Bar Code Medication Admininstration Data in Patients with Healthcare Associated Pneumonia (HCAP)
نویسندگان
چکیده
1326. Validation of the Antibiotic Spectrum Score Method to Measure Antibiotic De-escalation (AD) Utilizing Electronic Bar Code Medication Admininstration Data in Patients with Healthcare Associated Pneumonia (HCAP) Karl Madaras-Kelly, PharmD, MPH; Makoto Jones, MD, MS; Richard Remington, MS; Christina Caplinger, PharmD; Benedikt Huttner, MD; Matthew Samore, MD; VA Med. Ctr., Coll. of Pharmacy, Idaho State University, Boise, ID; Medicine, University of Utah School of Medicine, Division of Epidemiology, Salt Lake City, UT; Ideas Center, VA Salt Lake City Health Care System, Salt Lake City, UT; VA Med. Ctr.,& Quantified Inc., Boise, ID; Univesity of Utah School of Medicine, Division of Epidemiology, Salt Lake City, UT; University of Utah School of Medicine, Division of Epidemiology, Salt Lake City, UT
منابع مشابه
Practice patterns for antibiotic de-escalation in culture-negative healthcare-associated pneumonia
BACKGROUND Published guidelines for the treatment of healthcare-associated pneumonia (HCAP) recommend initial broad-spectrum antibiotics with appropriate de-escalation based on culture results. Guideline recommendations are based on data from intubated patients, in whom cultures are easily obtained. The approach to antibiotic de-escalation for culture-negative patients has not been addressed. C...
متن کاملDescription and validation of a spectrum score method to measure antimicrobial de-escalation in healthcare associated pneumonia from electronic medical records data
BACKGROUND Comparison of antimicrobial de-escalation rates between healthcare settings is problematic. To objectively and electronically measure de-escalation a method based upon the spectrum of antimicrobial regimens administered (i.e., spectrum score) was developed. METHODS A Delphi process was used to develop applicable concepts. Spectrum scores were created for 27 antimicrobials based upo...
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Healthcare-associated pneumonia (HCAP) is a new concept of pneumonia, which was proposed in the ATS/IDSA guidelines. The guidelines explain that HCAP patients should be treated with broad-spectrum antimicrobial drugs directed at multidrug-resistant pathogens. However, in Japan, there are many elderly people who received in-home care service. These patients seemed to be consistent with the conce...
متن کاملMini-BAL: not a small matter
the study by Lacroix and colleagues [1] in the previous issue of Critical Care, we appreciate the early use of the mini-bronchoalveolar lavage (mini-BAL) to diagnose health care-associated pneumonia (HCAP). However, some limitations of the study create diffi culties in initiating this protocol in our institution. Hospitalized/intubated patients with HCAP were not studied. Th ese patients repres...
متن کاملSafety and feasibility of antibiotic de-escalation in bacteremic pneumonia
BACKGROUND Antibiotic de-escalation is a potential strategy advocated to conserve the effectiveness of broad-spectrum antibiotics. The aim of this study was to examine the safety and feasibility of antibiotic de-escalation in patients admitted with bacteremic pneumonia. METHODS A retrospective chart review was done for patients with bacteremic pneumonia admitted to Northwest Texas Hospital in...
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عنوان ژورنال:
دوره 1 شماره
صفحات -
تاریخ انتشار 2014