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A better documentation of the reassessment of antibiotic therapies does not improve the quality of prescription

Abstract number: R2193

Objectives: To assess the impact of an intervention designed to improve the documentation of the reassessment of inpatient empiric antibiotic prescriptions on the quality of these prescriptions.

Methods: A prospective before and after intervention 7-month study on two wards (Internal Medicine and Medical Intensive Care Unit (ICU)) in one French University Hospital. The intervention consisted of a quality improvement project led by one doctor on each ward, aiming at improving the documentation of four process measures in the medical records: antibiotic plan, review of the diagnosis, adaptation to microbiological results and iv-po switch.

Results: 171 antibiotic prescriptions were assessed, 57 on the Internal Medicine ward and 114 in the ICU, 90 before and 81 after the intervention. The reassessment of antibiotic prescriptions was more often documented in the ICU after the intervention (58% vs 79%, P = 0.03), but not on the Internal Medicine ward (32% vs 45%, P = 0.48). The prevalence of appropriate antibiotic prescriptions was not statistically different on the two wards before and after the intervention (25% vs 31%, P = 0.83 and 44% vs 38%, P = 0.72 respectively).

Conclusions: A better documentation of the reassessment of antibiotic prescriptions was achieved on one ward, but it did not lead to a better quality of antibiotic prescriptions.

Session Details

Date: 10/04/2010
Time: 00:00-00:00
Session name: Abstracts 20th European Congress of Clinical Microbiology and Infectious Diseases
Subject:
Location: Vienna, Austria, 10 - 13 April 2010
Presentation type:
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