Health Condition 1: A00-B99- Certain infectious and parasitic diseases
Conditions
Interventions
Intervention1: START SMART THEN FOCUS: START SMART THEN FOCUS AMSP tool through training, meetings, interactions and feedback
Control Intervention1: START SMART THEN FOCUS: PRe intervention data
Sponsors
State Health System Resource Centre Gujarat
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients admitted to medical wards and initiated on at least one systemic antimicrobial agent at any time during hospitalisation, with antimicrobial review at 48-72 hours after initiation
Exclusion criteria
Exclusion criteria: patients of the ICU, patients transferred from the ward to the ICU or from the ICU to the ward, patients who are not prescribed antimicrobials, patients discharged, expired or transferred within 48 hours of antimicrobial initiation, patients are not willing to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of antimicrobial start in hospitalised patients with documented 48 to 72 hours reviewTimepoint: within 48-72 hours of after initiation of antimicrobial therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Demographic outcomesTimepoint: at baseline;proportion of antimicrobials prescription were switched from parenteral to oralTimepoint: during hospitalization until discarge;The proportion of antimicrobials stopped within 72 hoursTimepoint: within 72 hours after antimicrobial initiation;the proportion of documented antimicrobials reviews that have taken action onTimepoint: within 48 to 72 hours of antimicrobial review;average duration of antimicrobial therapyTimepoint: Till discahrge;proportion of antimicrobial prescription with deescalation within 72 hrs of culture testTimepoint: within 72 hours after availability of culture report;Proportion of antimicrobials precription concordant with standard treatment guidlinesTimepoint: at baseline & till discharge;the antimicrobial consumptionTimepoint: end of study period;average length of hospital stayTimepoint: upto discahrge;The proportion of in-hospital mortalityTimepoint: upto discharge & death;the incidence of adverse drug reaction due to antimicrobialsTimepoint: throughout hospitalization & till discharge | — |
Countries
India
Contacts
Public ContactDr Bharti Karelia
BJ Medical College
Outcome results
None listed