Effect of an antibiotic checklist on length of hospital stay and appropriate antibiotic use in adult patients treated with intravenous antibiotics: a.

Slides:

Advertisements

Similar presentations

Models for the organisation of hospital infection control and prevention programmes B. Gordts Clinical Microbiology and Infection Volume 11, Pages

Advertisements

Three vs. 10 days of amoxycillin–clavulanic acid for type 1 acute exacerbations of chronic obstructive pulmonary disease: a randomised, double-blind study

C.-S. Lee, J.-H. Lee Clinical Microbiology and Infection

Twelve years of dengue surveillance in Belgian travellers and significant increases in the number of cases in 2010 and 2013 J. Verschueren, L. Cnops,

Helicobacter pylori resistance to antibiotics in 2014 in France detected by phenotypic and genotypic methods A. Ducournau, L. Bénéjat, E. Sifré, E. Bessède,

L. Boyanova Clinical Microbiology and Infection

Hospitalization in double-occupancy rooms and the risk of hospital-acquired influenza: a prospective cohort study E. Munier-Marion, T. Bénet, C. Régis,

C.N. van Ettekoven, D. van de Beek, M.C. Brouwer

Incidence and outcome of Staphylococcus aureus endocarditis—a 10-year single-centre northern European experience H. Asgeirsson, A. Thalme, M. Kristjansson,

E. Charani, C. Tarrant, K. Moorthy, N. Sevdalis, L. Brennan, A. H

O.J. Dyar, G. Tebano, C. Pulcini Clinical Microbiology and Infection

D. Khalil, M. Hultin, M.U. Rashid, B. Lund

Herpes zoster in non-hospitalized children

Risk factors for cryptococcal infection among patients with rheumatoid arthritis receiving different immunosuppressive medications T.-L. Liao, Y.-M.

Migrant health—a cause for concern?

Host factors are more important in predicting recurrent Clostridium difficile infection than ribotype and use of antibiotics Y.H. van Beurden, S. Nezami,

Seven-day antibiotic courses have similar efficacy to prolonged courses in severe community-acquired pneumonia—a propensity-adjusted analysis G. Choudhury,

C.-S. Lee, J.-H. Lee Clinical Microbiology and Infection

Emerging issues on hepatitis C virus infection after the introduction of the Directly Acting Antivirals G. Ippolito Clinical Microbiology and Infection

J.-P. Van geertruyden Clinical Microbiology and Infection

Treatment of complicated skin and skin structure infections in areas with low incidence of antibiotic resistance—a retrospective population based study.

Is antimicrobial stewardship cost-effective

Three vs. 10 days of amoxycillin–clavulanic acid for type 1 acute exacerbations of chronic obstructive pulmonary disease: a randomised, double-blind study

A. F. Simonetti, C. Garcia-Vidal, D. Viasus, D. García-Somoza, J

Effect of an antibiotic checklist on length of hospital stay and appropriate antibiotic use in adult patients treated with intravenous antibiotics: a.

Transmission among healthcare worker contacts with a Middle East respiratory syndrome patient in a single Korean centre T. Kim, J. Jung, S.-M. Kim, D.-W.

A.E. Muller, U. Theuretzbacher, J.W. Mouton

V.E. Nambudiri, R.C. Dwyer, C.A. Camargo, T.S. Kupper, D.J. Pallin

Dermatitis by Dermatophilus congolensis

Increased incidence of nitroimidazole-refractory giardiasis at the Hospital for Tropical Diseases, London: 2008–2013 L.E.B. Nabarro, R.A. Lever, M. Armstrong,

Should standardized susceptibility testing for microbial biofilms be introduced in clinical practice? T. Coenye, D. Goeres, F. Van Bambeke, T. Bjarnsholt

Trends in length of stay, mortality and readmission among patients with community- acquired bacteraemia M. Søgaard, R.W. Thomsen, R.B. Bang, H.C. Schønheyder,

Trends in antibiotic prescribing in general internal medicine wards: antibiotic use and indication for prescription B. Maraha, M. Bonten, H. Fiolet,

Single-dose antibiotic prophylaxis for urinary catheter removal does not reduce the risk of urinary tract infection in surgical patients: a randomized.

Vector control: a cornerstone in the malaria elimination campaign

Viruses detected by systematic multiplex polymerase chain reaction in adults with suspected community-acquired pneumonia attending emergency departments.

Switch to oral antibiotics in the treatment of infective endocarditis is not associated with increased risk of mortality in non–severely ill patients

Predictors for individual patient antibiotic treatment effect in hospitalized community- acquired pneumonia patients A.F. Simonetti, C.H. van Werkhoven,

Sofie Arens, Jan Verhaegen, Ludo Verbist

Identification of patients at high risk for Clostridium difficile infection: development and validation of a risk prediction model in hospitalized patients.

E. Charani, C. Tarrant, K. Moorthy, N. Sevdalis, L. Brennan, A. H

Performance of hepatitis C virus (HCV) direct-acting antivirals in clinical trials and daily practice J.E. Arends, P.A.M. Kracht, A.I.M. Hoepelman Clinical.

J. Bodilsen, C. T. Brandt, A. Sharew, M. Dalager-Pedersen, T

Metagenomics and probiotics

M. Aires-de-Sousa Clinical Microbiology and Infection

W. -L. Yu, M. -F. Lee, H. -J. Tang, M. -C. Chang, J

Baseline C-reactive protein level as a predictor of mortality in bacteraemia patients: a population-based cohort study K.O. Gradel, R.W. Thomsen, S.

Systematic review of antibiotic consumption in acute care hospitals

Effect of metronidazole versus standard care on length of stay of patients admitted with severe infectious mononucleosis: a randomized controlled trial

Impact of an evidence-based guideline on the management of community-acquired bacterial meningitis: a prospective cohort study J.M. Costerus, M.C. Brouwer,

Vancomycin resistance emerging in a clonal outbreak caused by ampicillin-resistant Enterococcus faecium Stig Harthug, A. Digranes, O. Hope, B.E. Kristiansen,

Clinical infection services—the Leiden experience

V. Spoorenberg, J. M. Prins, B. C. Opmeer, T. M. de Reijke, M. E. J. L

Increasing numbers of hospitalizations and deaths with mention of Clostridium difficile infection, north-eastern Italy, 2008–2013 U. Fedeli, E. Schievano,

Clinical Microbiology and Infection

Antibiotic resistance patterns of more than clinical Escherichia coli isolates in Southeast Austria, 1998–2013 A. Badura, G. Feierl, G. Pregartner,

K. Kaier, N.T. Mutters, U. Frank Clinical Microbiology and Infection

A. van Samkar, M. C. Brouwer, Y. Pannekoek, A. van der Ende, D

Survival of rhinoviruses on human fingers

The atypical pneumonias: clinical diagnosis and importance

Abstracts Clinical Microbiology and Infection

Virology: a scientific discipline facing new challenges

Modelling during an emergency: the 2009 H1N1 influenza pandemic

O. Megged, A.M. Yinnon, D. Raveh, B. Rudensky, Y. Schlesinger

J.L. Balcázar Clinical Microbiology and Infection

J.A. Pérez-Molina, F. Fernández Clinical Microbiology and Infection

Impact of antibiotic restrictions: the patient's perspective

CMI readers' survey Clinical Microbiology and Infection

Rajko Saletinger, Mario Poljak, Franc Strle

The future of diagnostic bacteriology

Presentation transcript:

Effect of an antibiotic checklist on length of hospital stay and appropriate antibiotic use in adult patients treated with intravenous antibiotics: a stepped wedge cluster randomized trial F.V. van Daalen, J.M. Prins, B.C. Opmeer, M.A. Boermeester, C.E. Visser, R.M. van Hest, J. Branger, E. Mattsson, M.F.M. van de Broek, T.C. Roeleveld, A.A. Karimbeg, E.A.F. Haak, H.C. van den Hout, M.A. van Agtmael, M.E.J.L. Hulscher, S.E. Geerlings Clinical Microbiology and Infection Volume 23, Issue 7, Pages 485.e1-485.e8 (July 2017) DOI: 10.1016/j.cmi.2017.01.019 Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 1 Study design and trial profile. Red colour indicates baseline period, green colour indicates intervention period. B=number of baseline patients, CC=number of patients with completed checklist, PC=number of patients with partially completed checklist, NC=number of patients without a checklist. Clinical Microbiology and Infection 2017 23, 485.e1-485.e8DOI: (10.1016/j.cmi.2017.01.019) Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 2 Procedure of patient inclusion and length of stay analysis. 1=Baseline group, 2=Eligible patients with a completed checklist in the intervention group, 3=Eligible patients with a partially completed checklist in the intervention group, 4=Eligible patients without a checklist in the intervention group. Clinical Microbiology and Infection 2017 23, 485.e1-485.e8DOI: (10.1016/j.cmi.2017.01.019) Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions

Fig. 3 Association between quality indicator sum score and length of stay. *Adjusted for age, comorbidity, type of diagnosis, community- vs. hospital-acquired infection, antibiotics started at emergency department vs. ward, and interaction variables checklist+anti-cancer chemotherapy, checklist+admission at a University Medical Centre, checklist+surgical ward. **The upper quartile is the reference quartile. Clinical Microbiology and Infection 2017 23, 485.e1-485.e8DOI: (10.1016/j.cmi.2017.01.019) Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases Terms and Conditions