Review of antibiotic use in respiratory disorders at a regional hospital in Queensland

详细信息    查看全文

• 作者：Colleen McGoldrick ; RN ; MNSci Nurse Practitioner specialising in Respiratory Disorders ; Diploma in Asthma ; COPD^a ; ^{colleenmcgoldrick67@gmail.com} (Nursing Lecturer) ; Dr Thomas Ulahannan^b (FRCP ; FRACP ; Senior Lecturer) ; Katrina Lane Krebs ; B.HLTH. Sci. ; Grad. Cert. Tertiary Ed. ; M.Litt. ; PhD (Scholar)^c
• 关键词：Antibiotic stewardship ; Respiratory disorders ; Therapeutic guidelines ; Nursing
• 刊名：Collegian
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：23
• 期：4
• 页码：391-395
• 全文大小：339 K
• 卷排序：23

文摘

Adherence to antibiotic guidelines has been shown to improve outcomes in several clinical situations. Respiratory conditions are a major cause of mortality and morbidity in Queensland. A recent study showed low levels of compliance with antibiotic guidelines in a Queensland metropolitan hospital. We undertook an audit of antibiotic use in a regional Queensland hospital against Therapeutic Guideline recommendations. Therapeutic Guideline recommendations were followed in 16% of cases with ceftriaxone the most commonly prescribed. Re-admission rate within 28 days was for 53%, 26%, 11% and 5% respectively for ceftriaxone, benzylpenicillin, amoxicillin/clavulanate and ceftriaxone combined doxycycline. Less than half of patients treated for pneumonia had concordant radiographic changes. Admission via the emergency department may be a factor in the preference for intravenous injection of ceftriaxone and presence of non-infective co-morbidities may also contribute to re-admissions. Considerable challenges exist in improving compliance with antibiotic guidelines which can improve patient outcomes and antibiotic stewardship.