Respiratory Tract Infections Clinical Trial
Official title:
A Prospective Analysis of the Quality and Quantity of Antibiotic Prescriptions for Bacterial Respiratory Tract Superinfection in Patients Hospitalized in COVID-19 Wards of a Tertiary University Hospital During the COVID-19 Pandemic
In this prospective observational study, a quantitative and qualitative analysis of
antibiotic prescriptions for presumed respiratory tract (super)infection in patients
hospitalized on COVID-19 wards will be made.
Drivers of antibiotic prescription for presumed respiratory tract infection in patients
suspected of being infected with COVID-19 or with definite COVID-19 infections will be
identified.
Patients hospitalized on a COVID-19 ward for more than 24 hours will be included. Those with
one or more antimicrobial prescription(s) for a presumed respiratory tract (super)infection
will be identified and every antibiotic dose will be scored as appropriate, inappropriate,
suboptimal or unnecessary by at least two infectious disease (ID) specialists, on an
independent manner. If the scoring of the two ID specialists will defer, a third ID
specialist will come to a conclusion after discussion with the two other ID specialists.
A quantification of the total amount of antibiotics, prescribed for presumed respiratory
tract (super)infection will be made for patients with a COVID-19 diagnosis, but also a
quantification for every category of appropriateness will be made.
Possible drivers like the degree of hypoxemia, laboratory parameters, qSOFA score, duration
of symptoms, age, comorbidities, symptoms,... associated with the prescription of
antimicrobials for a presumed respiratory tract (sur)infection will be identified.
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