Anti-Infectives Adverse Reaction Clinical Trial
Official title:
Quasi-experimental Study Comparing Intravenous Antibiotics Prescriptions at Hospital Discharge With and Without ID Consultation
A quasi-experimental study was conducted among patients receiving care at the medicine units of the Maharaj Nakorn Chiang Mai Hospital to determine the appropriateness of intravenous antibiotics at hospital discharge with and without ID consultation.
The pre-intervention period was started from November 1, 2015 to April 30, 2016 (6-month
period), in which the intravenous antibiotics at hospital discharge were prescribed by the
primary care team. The post-intervention period was started from May 1, 2016 to February 28,
2017 (10-month period), in which the intravenous antibiotics at hospital discharge were
reviewed and intervened by ID team.
The appropriateness of intravenous antibiotics was assessed separately by the ID fellow and
ID specialist. If disagreement occurred, the feedback to the ID fellow was performed and the
decision by ID specialist was used in the final analysis of appropriateness.
In post-intervention period, ID fellow modified the intravenous antibiotics ordered by the
primary team if those intravenous antibiotics were judged as inappropriate by ID fellow as
follows: 1) discontinue intravenous antibiotics (treatment was complete), 2) switch to oral
antibiotics, 3) change intravenous antibiotics to cover isolated pathogens, 4) adjust the
dose of intravenous antibiotics, and 5) change the duration of intravenous antibiotics
Finally, ID specialist retrospectively assessed the appropriateness of intravenous
antibiotics at hospital discharge managed by ID fellow in post-intervention period.
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| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
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