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Audit of a multidisciplinary approach to improve management of community-acquired pneumonia

Authors :
Imran Ali
Miguel Angel Calleja
Lasantha Ratnayake
Nabil El Fahimi
Source :
Eur J Hosp Pharm
Publication Year :
2017
Publisher :
BMJ, 2017.

Abstract

Background Community-acquired pneumonia (CAP) is a frequent cause of morbidity, mortality and hospital admission worldwide. An adequate choice of empirical antibiotic treatment and appropriate severity assessment of the disease are key aspects in the management of CAP. Objective To audit the adherence to standards of care, such as empirical prescribing of antibiotics, and evaluate the current multidisciplinary approach to the management of CAP. Method Records of patients with CAP were identified and examined for CURB65 score documentation, discussion notes with microbiology and prescribed antibiotic treatments. Results Out of the 62 patients identified, 32 had a CURB65 score documented in their medical notes and 59 had documented chest X-ray findings. 85.5% of cases were compliant with antibiotic prescribing guidelines. Conclusion The multidisciplinary approach has considerably improved compliance with most of the standards, especially adherence to empirical antibiotic guidelines, and ultimately the standard of care for patients with CAP.

Details

ISSN :
20479964 and 20479956
Volume :
26
Database :
OpenAIRE
Journal :
European Journal of Hospital Pharmacy
Accession number :
edsair.doi.dedup.....124960ccb76154e13711b1c61108ce0f
Full Text :
https://doi.org/10.1136/ejhpharm-2017-001368