Applying to the antibiotic checklist - based on generic quality indicators for the antibiotic treatment of bacterial infections in the hospital - will likely result into better patient care in terms of adequate treatment, duration of intensive care…
ID
Bron
Verkorte titel
Aandoening
appropriate antibiotic use, bacterial infections in hospital, quality indicators
antibioticagebruik, kwaliteitsindicatoren, bacteriele infecties in het ziekenhuis
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Effect evaluation: <br>
- Length of hospital stay; <br>
- Appropriate antibiotic treatment according to the generic quality indicators
Achtergrond van het onderzoek
The aim is to develop and provide an antibiotic checklist based on validated generic quality indicators measuring the appropriateness of antibiotic use in hospitalized adults treated for a suspected bacterial infection, and to evaluate the introduction of the checklist in terms of (cost)- effectiveness. We will introduce the checklist in 9 Dutch hospitals, using a stepped wedge design.
Doel van het onderzoek
Applying to the antibiotic checklist - based on generic quality indicators for the antibiotic treatment of bacterial infections in the hospital - will likely result into better patient care in terms of adequate treatment, duration of intensive care unit (ICU)- and hospital stay, mortality, the total antibiotic use and costs.
Onderzoeksopzet
- Length of stay in days
- Readmission within 30 days
- Mortality in the hospital of within 30 days after discharge
Onderzoeksproduct en/of interventie
An antibiotic checklist based on generic quality indicators defining appropriate antibiotic use.
The antibiotic checklist is meant as a reminding tool for the doctor who starts intravenous (IV) antibiotic treatment. It is divided in two parts; the first part has to be completed at the moment of prescribing IV antibiotics, and consists of five items. The second part of the checklist is applicable during the course of treatment, at the latest after 72 hours of treatment, and consists of two items.
Publiek
Department of Internal Medicine, Division of Infectious Diseases, Room F4-217, Meibergdreef 9, 1105 AZ Amsterdam
Amsterdam
The Netherlands
+31 20 5666807
f.v.vandaalen@amc.nl
Wetenschappelijk
Department of Internal Medicine, Division of Infectious Diseases, Room F4-217, Meibergdreef 9, 1105 AZ Amsterdam
Amsterdam
The Netherlands
+31 20 5666807
f.v.vandaalen@amc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
-age ≥ 18 years old
-hospitalized patients or patients who will be hospitalized and present at the ED
- a suspected community-acquired and/or- hospital-acquired bacterial infection
- treatment with antibiotic therapy that starts intravenously.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- anticipated hospital stay of less than 24 hours;
- antibiotics used as prophylaxis or < 24 hours antibiotics;
- hospitalization at the ICU during start of the treatment;
- transfer from another hospital;
- antibiotic treatment in the ambulance, before presentation at the ED.
Opzet
Deelname
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