Managing adult patients with infectious diseases in emergency departments: international ID-IRI study
Erdem, Hakan, Hargreaves, Sally, Ankarali, Handan, Caskurlu, Hulya, Ceviker, Sevil Alkan, Bahar-Kacmaz, Asiye, Meric-Koc, Meliha, Altindis, Mustafa, Yildiz-Kirazaldi, Yasemin, Kizilates, Filiz, Alsalman, Jameela, Cag, Yasemin, Kamal, Abu Hena Mostafa, Dokmetas, Ilyas, Dindar-Demiray, Emine Kubra, Shehata, Ghaydaa Ahmed, Hasman, Hakan, Sadykova, Ainur, Llopis, Ferran, Ramosaco, Ergys, Logar, Mateja, Alay, Handan, Kesmez-Can, Fatma, Ruch, Yvon, Bulut, Dilek, Makek, Mateja Jankovic, Marino, Andrea, Mahboob, Amjad, El-Kholy, Amani, Abdallah, Dirar, Sefa-Sayar, Merve, Karaali, Ridvan, Aslan, Selda, Dar, Razi Even, Abdalla, Esam, Monzon-Camps, Helena, Baljic, Rusmir, Mgdalena, Dumitru Irina, Naghili, Behrouz, Abbas Dafalla, Mohamed Elhassan, Alwashmi, Ameen S. S., Carmen, Cernat Roxana, Ramirez-Estrada, Sergio, Wojewodzka-Zelezniakowicz, Marzena, Akyildiz, Ozay, Zajkowska, Joanna, El-Sokkary, Rehab, Pandya, Nirav, Amer, Fatma, Alavi-Darazam, Ilad, Grgic, Svjetlana, Wegdan, Ahmed Ashraf, El-Kholy, Jehan, Bulut-Avsar, Cansu, Kulzhanova, Sholpan, Tasbakan, Meltem, Kumari, Hema Prakash, Dirani, Natalia, Koganti, Kalyan, Konkayev, Aidos K., Petrov, Michael M., Cascio, Antonio, Liskova, Anna, Del Vecchio, Rosa Fontana, Lambertenghi, Lorenza, Mladenov, Nikolay, Oncu, Serkan, Rello, Jordi
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.
- Journal
- JOURNAL OF CHEMOTHERAPY
- Year
- 2021
- Volume
- 33
- Issue
- 5
- Pages
- 302-318
- ISSN
- 1120-009X
- eISSN
- 1973-9478
- DOI
- 10.1080/1120009X.2020.1863696
- WoS UID
- WOS:000630391700001