Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit
Purpose: We aimed to assess factors associated with therapy failure in patients with community-acquired pneumonia in the intensive care unit (ICU). Methods: Electronic charts of patients with International Classification of Diseases, Ninth Revision, codes of pneumonia who were admitted to the ICU at...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2019
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oai:doaj.org-article:eb2eb29c4f7049b1819ccdd41dc5eed12021-12-02T16:37:02ZOverprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit2231-07702249-446410.4103/ajm.AJM_189_18https://doaj.org/article/eb2eb29c4f7049b1819ccdd41dc5eed12019-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_189_18https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Purpose: We aimed to assess factors associated with therapy failure in patients with community-acquired pneumonia in the intensive care unit (ICU). Methods: Electronic charts of patients with International Classification of Diseases, Ninth Revision, codes of pneumonia who were admitted to the ICU at a tertiary academic medical center in Southern Arizona were reviewed. Results: Antipseudomonal coverage and anti-methicillin-resistant Staphylococcus aureus (MRSA) coverage were often prescribed (58.4% and 54.1%, respectively). Antipseudomonal coverage was rarely necessary as pseudomonal pneumonia was found in only one case (0.9%). Antipseudomonal and anti-MRSA coverage was not associated with improved outcomes. Conclusion: Overprescription of antibiotics in this population remains a significant problem. More work is needed to further limit unnecessary antibiotic use.Rorak HootenJose Luis MarquezKady GoldlistRafael UrcisMatthew AdamsKathryn MatthiasDavid NixMayar Al MohajerThieme Medical and Scientific Publishers Pvt. Ltd.articleantimicrobialsincentive care unitoutcomesoveruserespiratory infectionMedicineRENAvicenna Journal of Medicine, Vol 9, Iss 03, Pp 107-110 (2019) |
| institution |
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| collection |
DOAJ |
| language |
EN |
| topic |
antimicrobials incentive care unit outcomes overuse respiratory infection Medicine R |
| spellingShingle |
antimicrobials incentive care unit outcomes overuse respiratory infection Medicine R Rorak Hooten Jose Luis Marquez Kady Goldlist Rafael Urcis Matthew Adams Kathryn Matthias David Nix Mayar Al Mohajer Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit |
| description |
Purpose: We aimed to assess factors associated with therapy failure in patients with community-acquired pneumonia in the intensive care unit (ICU). Methods: Electronic charts of patients with International Classification of Diseases, Ninth Revision, codes of pneumonia who were admitted to the ICU at a tertiary academic medical center in Southern Arizona were reviewed. Results: Antipseudomonal coverage and anti-methicillin-resistant Staphylococcus aureus (MRSA) coverage were often prescribed (58.4% and 54.1%, respectively). Antipseudomonal coverage was rarely necessary as pseudomonal pneumonia was found in only one case (0.9%). Antipseudomonal and anti-MRSA coverage was not associated with improved outcomes. Conclusion: Overprescription of antibiotics in this population remains a significant problem. More work is needed to further limit unnecessary antibiotic use. |
| format |
article |
| author |
Rorak Hooten Jose Luis Marquez Kady Goldlist Rafael Urcis Matthew Adams Kathryn Matthias David Nix Mayar Al Mohajer |
| author_facet |
Rorak Hooten Jose Luis Marquez Kady Goldlist Rafael Urcis Matthew Adams Kathryn Matthias David Nix Mayar Al Mohajer |
| author_sort |
Rorak Hooten |
| title |
Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit |
| title_short |
Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit |
| title_full |
Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit |
| title_fullStr |
Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit |
| title_full_unstemmed |
Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit |
| title_sort |
overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit |
| publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
| publishDate |
2019 |
| url |
https://doaj.org/article/eb2eb29c4f7049b1819ccdd41dc5eed1 |
| work_keys_str_mv |
AT rorakhooten overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit AT joseluismarquez overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit AT kadygoldlist overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit AT rafaelurcis overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit AT matthewadams overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit AT kathrynmatthias overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit AT davidnix overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit AT mayaralmohajer overprescriptionofantibioticsinpatientswithcommunityacquiredpneumoniaintheintensivecareunit |
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1718383665684152320 |