Appropriate empirical antibiotic use in the emergency department: full compliance matters!

ABSTRACT:

Background

Little is known about determinants of appropriate antibiotic use in the emergency department (ED). We measured appropriateness of antibiotic use for seven quality indicators (QIs) and studied patient-related factors that determine their variation.

Patients and methods

A retrospective analysis of 948 patients presumptively diagnosed as having an infection needing empirical antibiotic treatment in the ED was performed. Outcomes of seven previously validated QIs were calculated using computerized algorithms. We used logistic regression analysis to identify patient-related factors of QI performance and evaluated whether more appropriate antibiotic use in the ED results in better patient outcomes (length-of-stay, in-hospital mortality, 30 day readmission).

Results</

SUBMITTER: Berrevoets MAH 

PROVIDER: S-EPMC8210121 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature