appropriate antibiotic use, bacterial infections in hospital, quality indicators antibioticagebruik, kwaliteitsindicatoren, bacteriele infecties in het ziekenhuis
Conditions
Interventions
An antibiotic checklist based on generic quality indicators defining appropriate antibiotic use.
The antibiotic checklist is meant as a reminding tool for the doctor who starts intravenous (IV) antibi
the first part has to be completed at the moment of prescribing IV antibiotics, and consists of five items. The second part of the checklist is applicable during the course of treatment, at the latest
Sponsors
Academic Medical Center Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: -age ≥ 18 years old -hospitalized patients or patients who will be hospitalized and present at the ED - a suspected community-acquired and/or- hospital-acquired bacterial infection - treatment with antibiotic therapy that starts intravenously.
Exclusion criteria
Exclusion criteria: - anticipated hospital stay of less than 24 hours; - antibiotics used as prophylaxis or < 24 hours antibiotics; - hospitalization at the ICU during start of the treatment; - transfer from another hospital; - antibiotic treatment in the ambulance, before presentation at the ED.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect evaluation: - Length of hospital stay; - Appropriate antibiotic treatment according to the generic quality indicators | — |
Secondary
| Measure | Time frame |
|---|---|
| Effect evaluation: - admission to and duration of intensive care unit stay; - readmission within 30 days; - mortality. Process evaluation: - doctors’ compliance with the checklist Economic evaluation: - total antibiotic use; - costs associated with resource use and hospital stay; -costs related to implementation and use of the checklist. | — |
Contacts
Public ContactF.V. Daalen, van
Outcome results
None listed