A clinical decision support system improves antibiotic therapy for upper urinary tract infection in a randomized single-blinded study

BMC Health Services Research
M NeugebauerR Vogelmann

Abstract

Due to increasing bacterial resistance rates choosing a correct empiric antibiotic therapy is getting more and more complex. Often medical doctors use information tools to make the right treatment choice. One hundred sixty six participants (77 medical doctors and 89 medical students) were asked to provide a diagnosis and antibiotic therapy in a simple fictive paper case of upper urinary tract infection (UTI) in a randomized single-blinded study. Participants were randomized to one of four information tools they were allowed to use in the study or control: 1. free internet access, 2. pharmaceutical pocket guide, 3. pocket guide antibiotic therapy, 4. clinical decision support system (CDSS), and control (no information tool). The CDSS was designed for the study. The adherence to the national German UTI guideline was evaluated. Only 27.1% (n = 45/166) provided a correct diagnosis of upper UTI and 19.4% (n = 32/166) an antibiotic treatment recommended by national German treatment guidelines indicating their need for information tools. This result was not significantly different between medical doctors and medical students, residents and medical specialists or level of working experience. Using CDSS improved results significantly co...Continue Reading

References

Nov 1, 2012·BMC Medical Informatics and Decision Making·Karl Frederick Braekkan PayneKim Watts
Aug 16, 2014·Journal of the American Medical Informatics Association : JAMIA·Jakob HolstiegeDawid Pieper
Dec 3, 2014·International Journal of Clinical Practice·M A AlmatarT L Anderson
Sep 24, 2015·International Journal of Medical Informatics·Anne MillerDiane Montella
Jan 21, 2016·Journal of Medical Internet Research·Koren Hyogene KwagLorenzo Moja
Dec 5, 2017·International Journal of Medical Education·Michael FralickLinda Taggart
Jul 28, 2019·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Michael NeugebauerRoger Vogelmann

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Citations

Mar 4, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Ashraf S HarahshehDeena Berkowitz
Jul 25, 2021·The International Journal of Pharmacy Practice·Helen Y WangBarbara Gatton

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Software Mentioned

CDSS
CDSS “ Infektionsnetzwerk / Antibiotix
Infektionsnetzwerk
Excel
IC
Antibiotix
Stata

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