Managing adult patients with infectious diseases in emergency departments: international ID-IRI study
Özet
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.
Anahtar kelimeler
Sürdürülebilir Kalkınma Amaçları
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SKA 3: Sağlıklı Bireyler
Atıf için künye
Erdem, H., Hargreaves, S., ANKARALI, H., ÇAŞKURLU, H., Ceviker, S. A., Bahar-Kacmaz, A., Meric-Koc, M., ALTINDİŞ, M., Yildiz-Kirazaldi, Y., Kizilates, F., Alsalman, J., Cag, Y., Kamal, A. H. M., Dokmetas, I., Dindar-Demiray, E. K., Shehata, G. A., Hasman, H., Sadykova, A., Llopis, F., … Rello, J. (2021). Managing adult patients with infectious diseases in emergency departments: international ID-IRI study. JOURNAL OF CHEMOTHERAPY, 33(5), 302–318. https://doi.org/10.1080/1120009x.2020.1863696
BibTeX
@article{erdem2021-241794,
author = {Erdem, Hakan and Hargreaves, Sally and ANKARALI, HANDAN and ÇAŞKURLU, HÜLYA and Ceviker, Sevil Alkan and Bahar-Kacmaz, Asiye and Meric-Koc, Meliha and ALTINDİŞ, MUSTAFA and Yildiz-Kirazaldi, Yasemin and Kizilates, Filiz and Alsalman, Jameela and Cag, Yasemin and Kamal, Abu Hena Mostafa and Dokmetas, Ilyas and Dindar-Demiray, Emine Kubra and Shehata, Ghaydaa Ahmed and Hasman, Hakan and Sadykova, Ainur and Llopis, Ferran and Ramosaco, Ergys and Logar, Mateja and Alay, Handan and Kesmez Can, Fatma and Ruch, Yvon and Bulut, Dilek and Makek, Mateja Jankovic and Marino, Andrea and Mahboob, Amjad and El-Kholy, Amani and Abdallah, Dirar and Sefa-Sayar, Merve and KARAALİ, Rıdvan and Aslan, Selda and Dar, Razi Even and Abdalla, Esam and Monzon-Camps, Helena and Baljic, Rusmir and Mgdalena, Dumitru Irina and Naghili, Behrouz and Abbas Dafalla, Mohamed Elhassan and Alwashmi, Ameen S. S. and Carmen, Cernat Roxana and Ramirez-Estrada, Sergio and Wojewodzka-Zelezniakowicz, Marzena and Akyildiz, Ozay and Zajkowska, Joanna and El-Sokkary, Rehab and Pandya, Nirav and Amer, Fatma and Alavi-Darazam, Ilad and Grgic, Svjetlana and Wegdan, Ahmed Ashraf and El-Kholy, Jehan and BULUT AVŞAR, CANSU and Kulzhanova, Sholpan and TAŞBAKAN, MELTEM and Kumari, Hema Prakash and Dirani, Natalia and Koganti, Kalyan and Konkayev, Aidos K. and Petrov, Michael M. and Cascio, Antonio and Liskova, Anna and Del Vecchio, Rosa Fontana and Lambertenghi, Lorenza and Mladenov, Nikolay and ÖNCÜ, SERKAN and Rello, Jordi},
title = {Managing adult patients with infectious diseases in emergency departments: international ID-IRI study},
journal = {JOURNAL OF CHEMOTHERAPY},
year = {2021},
volume = {33},
number = {5},
pages = {302--318},
issn = {1120-009X},
doi = {10.1080/1120009x.2020.1863696},
url = {https://akademik.atauni.edu.tr/yayinlar/241794-managing-adult-patients-with-infectious-diseases-in-emergency-departments}
}