Non-adherence to antimicrobial stewardship prospective audit and feedback advice: Risk factors and clinical consequences.

Aged Anti-Bacterial Agents / therapeutic use Antimicrobial Stewardship / standards Bacterial Infections / drug therapy Female Guideline Adherence / statistics & numerical data Humans Male Middle Aged Practice Guidelines as Topic Practice Patterns, Physicians' / standards Time Factors
Adherence Antimicrobial Antimicrobial stewardship Infectious diseases Prospective audit and feedback

Journal

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
ISSN: 1437-7780
Titre abrégé: J Infect Chemother
Pays: Netherlands
ID NLM: 9608375

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 24 10 2018
revised: 24 12 2018
accepted: 20 02 2019
pubmed: 25 3 2019
medline: 3 9 2019
entrez: 25 3 2019
Statut: ppublish

Résumé

Amongst 325 patients receiving restricted antimicrobials whose management was subject to antimicrobial stewardship prospective audit and feedback, adherence to advice was 78%. Non-adherence was associated with diabetic patients, giving more than 1 piece of advice and receipt of piperacillin/tazobactam therapy, and was inversely associated with liver disease. Adherence to advice was associated with a one third reduction in duration of antimicrobial use without adversely impacting other infection-related patient outcomes.

Identifiants

DOI: 10.1016/j.jiac.2019.02.011 PMID: 30904463
pubmed: 30904463
pii: S1341-321X(18)30432-X
doi: 10.1016/j.jiac.2019.02.011
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

485-488

Informations de copyright

Copyright © 2019 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Auteurs

Christopher D Horton (CD)

Medical School, University of Western Australia, 35 Stirling Hwy, Crawley, Western Australia, 6009, Australia.

Matthew D M Rawlins (MDM)

Department of Pharmacy, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia, 6150, Australia.

Laurens Manning (L)

Medical School, University of Western Australia, Harry Perkins Research Institute, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia, 6150, Australia; Department of Infectious Diseases, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia, 6150, Australia.

Paul R Ingram (PR)

Medical School, University of Western Australia, 35 Stirling Hwy, Crawley, Western Australia, 6009, Australia; Department of Infectious Diseases, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia, 6150, Australia; Department of Microbiology, PathWest Laboratory Medicine, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia, 6150, Australia. Electronic address: paul.ingram@health.wa.gov.au.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Anti-infectieux › Antibactériens › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Bilan opérationnel › Revue des pratiques de prescription des médicaments › Gestion responsable des antimicrobiens › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Infection › Infections bactériennes et mycoses › Infections bactériennes › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Adhésion aux directives › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Recommandations comme sujet › Guides de bonnes pratiques cliniques comme sujet › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Types de pratiques des médecins › Non-adherence to antimicrobial stewardship...
questionsmedicales.fr › Phénomènes physiques › Temps › Facteurs temps › Non-adherence to antimicrobial stewardship...