Impact of Order Sentence Implementation on Outpatient Antibiotic Prescribing for Urinary Tract Infection and Skin and Soft Tissue Infection

2021 ◽  
Author(s):  
Brennan J. Foreman ◽  
Lindsey Westerhof ◽  
Jessica Benzer ◽  
Kristen Eid ◽  
Nnaemeka E. Egwuatu ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Soft Tissue ◽  
Tract Infection ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Antibiotic Prescribing

Antibiotic overuse after discharge from medical short-stay units

2021 ◽  
pp. 1-4
Author(s):  
Nathaniel S. Soper ◽  
Abhinav J. Appukutty ◽  
David Paje ◽  
Lindsay A. Petty ◽  
Scott A. Flanders ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Soft Tissue ◽  
Tract Infection ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Short Stay ◽  
Antibiotic Overuse

Abstract Of 100 patients discharged from short-stay units (SSUs) with antibiotics, 47 had a skin and soft-tissue infection, 22 had pneumonia, and 21 had a urinary tract infection. Among all discharge antibiotic prescriptions, 78% involved antibiotic overuse, most commonly excess duration (54 of 100) and guideline discordant selection (44 of 100).

Intervention to Discontinue Parenteral Antimicrobial Therapy in Hospitalized Patients with Urinary Tract Infection, Skin and Soft Tissue Infection, or No Evident Infection

1993 ◽  
Vol 14 (9) ◽  
pp. 517-522 ◽  
Author(s):  
N. Joel Ehrenkranz ◽  
Debra E. Nerenberg ◽  
Kenneth C. Slater ◽  
James M. Shultz
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Soft Tissue ◽  
Tract Infection ◽  
Adverse Events ◽  
Soft Tissue Infection ◽  
Hospital Length ◽  
Tissue Infection ◽  
Hospital Length Of Stay ◽  
Continuous Use

AbstractObjectives:In a previous study, we found that unsolicited recommendations to physicians of medically stable patients with pneumonia to suspend parenteral antimicrobials shortened hospital length of stay (LOS) significantly. In this study, we made similar recommendations to physicians treating patients with different indications for parenteral antimicrobials, to examine the effect on LOS.Methods:A nurse-interventionist presented randomly assigned physicians with nonconfrontational suggestions to discontinue parenteral antimicrobials by substituting comparable oral antimicrobials or stopping treatment. Patients were being treated for urinary tract infection, skin infection, or no evident infection. Blinded observers evaluated in-hospital and 30-day postdischarge patient courses. Methodologies were identical to the previous study.Results:There were 70 physician-patient episodes (49 intervened episodes, 21 control episodes). In 44 episodes (90%), compliant physicians discontinued parenteral antimicrobials. Compared to a median postrandomization LOS of 2.5 days (range, 0 to 40.5) for 21 patients of control physicians, the corresponding LOS for 44 patients of compliant physicians was two days (range, 0 to 8; P= 1.0), and for five patients of noncompliant physicians, five days (range, 3 to 11; P= 0.04).The combined occurrence of all adverse events detected in this and the previous study was 11% for patients of control physicians, compared to 14% for patients of compliant physicians (P= 0.2), and 19% for patients of noncompliant physicians (P<0.05).Conclusions:For patients of compliant physicians hospitalized with urinary tract infection, skin and soft tissue infection, or no evident infection, cessation of parenteral antimicrobials did not significantly shorten LOS, due to brief LOS of patients of control physicians. Patients of noncompliant physicians experienced more adverse events and prolonged LOS. The appropriateness of routine continuous use of parenteral antimicrobials in medically stable inpatients is questioned.

scholarly journals Infections caused by Klebsiella ozaenae: a changing disease spectrum

1978 ◽  
Vol 8 (4) ◽  
pp. 413-418
Author(s):  
E J Goldstein ◽  
R P Lewis ◽  
W J Martin ◽  
P H Edelstein
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Soft Tissue ◽  
Tract Infection ◽  
Mixed Culture ◽  
Soft Tissue Infection ◽  
Atrophic Rhinitis ◽  
Nasal Discharge ◽  
Disease Spectrum ◽  
Time Period

A total of 64 isolates of Klebsiella ozaenae were recovered from 36 patients during a 40-month period. Over 7,500 isolates of K. pneumoniae were isolated during the same time period. Before this decade, K. ozaenae was considered to be only a colonizer of the nasopharynx or a putative cause of ozena (atrophic rhinitis). K. ozaenae was recovered most frequently from sputum in mixed culture but was associated with infection in 12 patients (2 with bacteremia, 3 with urinary tract infection, 1 with soft tissue infection, and 6 with mucopurulent nasal discharge). The spectrum of disease caused by this organism is more extensive than has been appreciated previously.

scholarly journals Measuring Antibiotic Appropriateness for Urinary Tract Infections in Nursing Home Residents

2017 ◽  
Vol 38 (8) ◽  
pp. 998-1001 ◽  
Author(s):  
Taniece Eure ◽  
Lisa L. LaPlace ◽  
Richard Melchreit ◽  
Meghan Maloney ◽  
Ruth Lynfield ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Nursing Home ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Nursing Home Residents ◽  
Infect Control Hosp ◽  
Antibiotic Prescribing ◽  
Appropriate Use ◽  
Tract Infections

We assessed the appropriateness of initiating antibiotics in 49 nursing home (NH) residents receiving antibiotics for urinary tract infection (UTI) using 3 published algorithms. Overall, 16 residents (32%) received prophylaxis, and among the 33 receiving treatment, the percentage of appropriate use ranged from 15% to 45%. Opportunities exist for improving UTI antibiotic prescribing in NH.Infect Control Hosp Epidemiol 2017;38:998–1001

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