ED pharmacist monitoring of provider antibiotic selection aids appropriate treatment for outpatient UTI - 25/07/16
Abstract |
Objective |
We sought to determine whether an emergency department (ED) pharmacist could aid in the monitoring and correction of inappropriate empiric antibiotic selection for urinary tract infections in an outpatient ED population.
Methods |
Urine cultures with greater than 100 000 CFU/mL bacteria from the University of Utah Emergency Department over 1 year (October 2011-Sept 2012) were identified using our electronic medical record system. Per ED protocol, an ED pharmacist reviews all cultures and performs a chart review of patient symptoms, diagnosis, and discharge antibiotics to determine whether the treatment was appropriate. A retrospective review of this process was performed to identify how often inappropriate treatment was recognized and intervened on by an ED pharmacist.
Results |
Of the 180 cultures included, a total of 42 (23%) of empiric discharge treatments were considered inappropriate and required intervention. In 35 (83%) of 42 patients, the ED pharmacist was able to contact the patient and make appropriate changes; the remaining 7 patients were unable to be contacted, and no change could be made in their treatment.
Conclusion |
A chart review of all urine cultures with greater than 100 000 CFU/mL performed by an ED pharmacist helped identify inappropriate treatment in 23% of patients discharged to home with the diagnosis of urinary tract infection. Of these patients who had received inappropriate treatment, an ED pharmacist was able to intervene in 83% of cases. These data highlight the role of ED pharmacists in improving patient care after discharge.
Le texte complet de cet article est disponible en PDF.Plan
☆ | Meetings: oral abstract, American College of Emergency Physicians Research Forum. “Development Of An Emergency Department Antibiogram For Uncomplicated Outpatient Urinary Tract Infections.” October 2014, Chicago, IL; oral abstract, American College of Emergency Physicians Research Forum. “ED Pharmacist Monitoring Of Provider Antibiotic Selection For Empiric Treatment Of Outpatient Urinary Tract Infections.” October 2014, Chicago, IL; oral abstract, Society of Academic Emergency Medicine 2013 Western. “Development Of An Emergency Department Antibiogram For Uncomplicated Outpatient Urinary Tract Infections.” March 2014, Irvine, CA; oral abstract, American College of Emergency Physicians Research Forum. “ED Pharmacist Monitoring Of Provider Antibiotic Selection For Empiric Treatment Of Outpatient Urinary Tract Infections.” March 2014, Irvine, CA. |
☆☆ | Grant or financial support: None. |
Vol 34 - N° 8
P. 1600-1603 - août 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?