Titre
Impact of standardised review of intravenous antibiotic therapy 72 hours after prescription in two internal medicine wards.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Manuel, Oriol
Auteure/Auteur
Burnand, Bernard
Auteure/Auteur
Bady, Pierre
Auteure/Auteur
Kammerlander, Raoul
Auteure/Auteur
Vansantvoet, Maria
Auteure/Auteur
Francioli, Patrick
Auteure/Auteur
Zanetti, Giorgio
Auteure/Auteur
Liens vers les personnes
ISSN
1532-2939[electronic]
Statut éditorial
Publié
Date de publication
2010
Volume
74
Numéro
4
Première page
326
Dernière page/numéro d’article
331
Peer-reviewed
Oui
Langue
anglais
Résumé
Post-prescription review of hospital antibiotic therapy may contribute to more appropriate use. We estimated the impact of a standardised review of intravenous antibiotic therapy three days after prescription in two internal medicine wards of a university hospital. In one ward, we assessed the charts of patients under intravenous antibiotic therapy using a standardised review process and provided feedback to the prescriber. There was no intervention in the other ward. After six months we crossed the allocation between the two wards. In all, 204 courses of antibiotic therapy were included in the intervention periods and 226 in the control periods. Post-prescription review led to proposals for modification in 46% of antibiotic courses. Time to treatment modification was 22% shorter in the intervention periods compared with the control periods (3.9+/-5.2 days vs 5.0+/-6.0 days, P=0.007). Patients included in the intervention group had lower antibiotic consumption than patients in the control group, but the intervention had no significant impact on the overall antibiotic consumption of the two wards.
PID Serval
serval:BIB_3907C30B7AB3
PMID
Date de création
2009-12-29T13:42:47.414Z
Date de création dans IRIS
2025-05-20T13:25:36Z