PMID: 3213840Dec 1, 1988Paper

Use of microbiology reports by physicians in prescribing antimicrobial agents

The American Journal of the Medical Sciences
L Campo, J M Mylotte

Abstract

The purpose of this study was to examine the use of microbiologic reports by physicians in prescribing antimicrobial agents in a community hospital setting. Patients were identified by daily review of all blood, urine, and sputum cultures that grew pathogen(s) during a 7-week period. Appropriateness of antibiotic therapy was based on results of antibiotic susceptibility testing of isolated pathogen(s). The physician response to culture results was evaluated on changes made in antimicrobial therapy. Seventy-one patients with 73 cultures (infections) were identified; 70% of the infections were community acquired. The frequency of each infection during the study period was: bacteremia (N = 12), pneumonia (N = 18), definite urinary tract infection (N = 26) and probable urinary tract infection (N = 17). Initial treatment was appropriate in 49 of 73 (67%) episodes; the organism(s) isolated were resistant to initial therapy in 24 of 85 (33%) episodes. After culture results were available, 34 of 73 (47%) regimens were changed, but only 50% of the changes were considered appropriate. Overall, there was no significant difference in the proportion of all treatment regimens considered appropriate before (67%) and after (56%) culture result...Continue Reading

References

Jan 12, 1976·JAMA : the Journal of the American Medical Association·M DavidsonD L Palmer
Jun 1, 1979·The Journal of Infectious Diseases·M ShapiroE H Kass
Mar 1, 1979·The Journal of Antimicrobial Chemotherapy·F J Buckwold, A R Ronald
May 1, 1978·The American Journal of the Medical Sciences·D G Maki, A A Schuna
Feb 1, 1987·American Journal of Infection Control·R A LarsenJ P Burke
Mar 1, 1986·Diagnostic Microbiology and Infectious Disease·G V Doern
Sep 1, 1983·Antimicrobial Agents and Chemotherapy·M Y MaM E Mulligan
Jan 1, 1956·Annual Review of Microbiology·E JAWETZ

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Citations

Mar 16, 2000·International Journal of Antimicrobial Agents·R J Cunney, E G Smyth
Sep 1, 1996·Journal of Clinical Pathology·C BlockM Shapiro
Aug 23, 2001·International Journal of Antimicrobial Agents·R ColodnerR Raz
Mar 14, 2009·The Surgical Clinics of North America·Heather L Evans, Robert G Sawyer
Oct 1, 1989·American Journal of Infection Control·N J Ehrenkranz
Jan 1, 1997·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·I. C. GyssensJ. A. A. Hoogkamp-Korstanje
Jan 5, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·B CoignardW R Jarvis
Jan 1, 1991·Scandinavian Journal of Infectious Diseases·E RintalaO P Lehtonen
Jan 3, 2006·The Journal of Antimicrobial Chemotherapy·Dag BerildSigne Holta Ringertz
Jan 1, 1994·Clinical Microbiology Reviews·R C BartlettJ Nivard
Sep 1, 1995·Journal of Clinical Microbiology·J R JohnsonW E Stamm

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