Health Condition 1: - Health Condition 2: B968- Other specified bacterial agents as the cause of diseases classified elsewhere
Conditions
Interventions
Intervention1: Clinical Pharmacist intervention: Check if a diagnosis has been documented at admission
Check if antibiotic prescribed for the diagnosis are according to the recommendations of pediatri
Sponsors
Aster Medcity Kochi
Eligibility
Inclusion criteria
Inclusion criteria: All pediatric patients, 18 yrs old and less, admitted at Aster Medcity during the study period who were prescribed antibiotic/s
Exclusion criteria
Exclusion criteria: 1. Any patient more than 18yrs old 2. All children in whom antibiotics were given for procedural prophylaxis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Impact of additional clinical pharmacist intervention on appripriate and cost effective antibiotic useTimepoint: at discharge and 4 weeks after discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Assess rates of MRSA, MDR TB, MDR Typhoid, ESBL UTI, MDR Clostridium difficile, MDR BAL cultures, MDR fungal infections 2. Antibiotic prescribing according to standard guidelines (IAP DF/ BNFc) including IV to oral switch ââ?¬â?? prescribing errors ââ?¬â?? indication/dose/route of administration/duration/ 3. Time to review culture result ââ?¬â?? culture guided antibiotic selection 4. Defined daily dose (DDD)/1,000 patient-days of antibiotics used in pediatrics 5. Antimicrobial days of therapy (DOT) - Antimicrobial consumption for specific conditions [e.g., community-acquired pneumonia, VAP, MRSA bacteremia, ESBL UTI] 6. Antimicrobial-free days 7. Overall mass of various antimicrobials in grams being consumed by patients 8. Cost of therapy 9. Clinical outcomes ââ?¬â?? Length of hospital stay Cure / Mortality 10. Relapses / hospital readmission / need for follow up visits in the 1 moth following discharge Timepoint: At admission, 72 hr and 1 week after antibiotics are started aat discharge and at 1 month follow up | — |
Countries
India
Contacts
Public ContactDr Jeeson C Unni
Aster Medcity, Kochi
Outcome results
None listed