6533b851fe1ef96bd12a9856

RESEARCH PRODUCT

Managing adult patients with infectious diseases in emergency departments: international ID-IRI study.

Cernat Roxana CarmenSholpan KulzhanovaYasemin CagMohamed Elhassan Abbas DafallaOzay AkyildizAmani El-kholyAinur SadykovaAhmed Ashraf WegdanAnna LiskovaJordi RelloFatma A. AmerIlyas DokmetasBehrouz NaghiliNatalia DiraniSvjetlana GrgićMichael M. PetrovSevil Alkan CevikerJameela AlsalmanJehan El-kholyHakan HasmanSerkan OncuAbu Hena Mostafa KamalKalyan KogantiYasemin Yildiz-kirazaldiMateja Jankovic MakekHulya CaskurluRusmir BaljicSelda AslanRazi Even DarSergio Ramirez-estradaMateja LogarCansu Bulut-avsarJoanna ZajkowskaRosa Fontana Del VecchioHandan AlayAidos K KonkayevMarzena Wojewodzka-zelezniakowiczSally HargreavesHakan ErdemAmjad MahboobFerran LlopisDumitru Irina MgdalenaErgys RamosacoDilek BulutAmeen S. S. AlwashmiNikolay MladenovEsam AbdallaNirav PandyaLorenza LambertenghiMustafa AltindişHema Prakash KumariAndrea MarinoYvon RuchFiliz KizilatesDirar AbdallahEmine Kubra Dindar-demirayAntonio CascioMeliha Meric-kocAsiye Bahar-kacmazRehab H. El-sokkaryMeltem TaşbakanRidvan KaraaliHandan AnkaraliHelena Monzón-campsIlad Alavi-darazamGhaydaa A. ShehataMerve Sefa-sayarFatma Kesmez-can

subject

0301 basic medicinePoint prevalence surveymedicine.medical_specialtyUrologic NeoplasmsReferralinternational ID-IRI study- JOURNAL OF CHEMOTHERAPY 2021 [Erdem H. Hargreaves S. ANKARALI H. ÇAŞKURLU H. Ceviker S. A. Bahar-Kacmaz A. Meric-Koc M. ALTINDİŞ M. Yildiz-Kirazaldi Y. Kizilates F. et al. -Managing adult patients with infectious diseases in emergency departments]medicine.drug_classOrgan Dysfunction Scores030106 microbiologyAntibioticsPractice Patternsemergency ; antibiotic ; elderly ; infection ; sepsis ; treatmentGlobal HealthelderlyCommunicable Diseasestreatment.SepsisHospital03 medical and health sciences0302 clinical medicineantibioticSepsismedicineHumansPharmacology (medical)Practice Patterns Physicians'Developing CountriesRespiratory Tract InfectionsPharmacologyEmergency ServicePhysicians'Adult patientstreatmentbusiness.industryPatient AcuityAntimicrobialmedicine.diseasehumanitiesinfectionDrug UtilizationAnti-Bacterial AgentsInfectious DiseasesOncology030220 oncology & carcinogenesisEmergency medicineEmergencysepsibusinessEmergency Service Hospital

description

We aimed to explore factors for optimizing antimicrobial treatment in emergency departments. A single-day point prevalence survey was conducted on January 18, 2020, in 53 referral/tertiary hospitals in 22 countries. 1957 (17%) of 11557 patients presenting to EDs had infections. The mean qSOFA score was 0.37 +/- 0.74. Sepsis (qSOFA >= 2) was recorded in 218 (11.1%) patients. The mean qSOFA score was significantly higher in low-middle (1.48 +/- 0.963) compared to upper-middle (0.17 +/- 0.482) and high-income (0.36 +/- 0.714) countries ( P < 0.001). Eight (3.7%) patients with sepsis were treated as outpatients. The most common diagnoses were upper-respiratory (n = 877, 43.3%), lower-respiratory (n = 316, 16.1%), and lower-urinary (n = 201, 10.3%) infections. 1085 (55.4%) patients received antibiotics. The most-commonly used antibiotics were beta-lactam (BL) and BL inhibitors (n = 307, 15.7%), third-generation cephalosporins (n = 251, 12.8%), and quinolones (n = 204, 10.5%). Irrational antibiotic use and inappropriate hospitalization decisions seemed possible. Patients were more septic in countries with limited resources. Hence, a better organizational scheme is required.

yearjournalcountryeditionlanguage
2021-03-18Journal of chemotherapy (Florence, Italy)
10.1080/1120009x.2020.1863696https://pubmed.ncbi.nlm.nih.gov/33734040