Clinical Pharmacists, Electronic Medical Record
Conditions
Keywords
clinical pharmacist, antibiotic consumption, antibiotic use, cost-saving
Brief summary
A retrospective cohort study to explore the association between clinical pharmacists' interventions and antibiotic consumption through the use of the medical electronic reports and to identify mortality and cost savings in hospital infectious disease.
Detailed description
The role of clinical pharmacist includes : 1. a check of suitable selection and dosing of antimicrobials according to the diagnosis, type of infection, antimicrobial cultures as possible, comorbidities of patients (renal or hepatic function, etc), adverse effect, and drug interaction with other drugs. 2. Documentation of the clinical intervention, cost-saving, adverse effect,, antimicrobial culture and antimicrobial consumption on the electronic program (CPC clinical patient care). 3. The clinical pharmacist inspector reviews the data recorded on CPC.
Interventions
There is no intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* All inpatient with infectious disease (disorders caused by organisms as (bacteria, viruses, fungi, or parasites).
Exclusion criteria
* Any other cause of hospital admission other than infectious disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Antimicrobial consumption | 2 years | consumption of antimicrobials (defined daily doses / 100 patient-days) |
| Days of therapy (DOT) | 2 years | Number of days of each antimicrobial received for therapy |
| Length of therapy(LOT) | 2 years | The number of days a patient takes an antibacterial drug, regardless of the number of different medications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality rate | 2 years | in-hospital mortality rate (%) |
| The incidence of adverse reaction of antimicrobial | 2 years | An unexpected medical problem that happens during treatment with antimicrobial. |
| cost savings | 2 years | (initial treatment cost × days before intervention) - (cost after intervention × days with this treatment), |
| Antimicrobial resistance | 2 years | resistance defined as resistance to at least one antimicrobial from the panel for all organisms, and for a subset of organisms belonging to the ESKAPE group (Enterococcus faecium, S. aureus, Klebsiella pneumonia, Acinetobacter baumannii, Pseudomonas aeruginosa , and Enterobacter spp. |
Countries
Egypt