Antibiotic Stewardship in Infectious Disease Departement
- Conditions
- Infectious Disease
- Interventions
- Other: antibiotic protocol, according to a syndromic approach
- Registration Number
- NCT03636711
- Lead Sponsor
- Assistance Publique Hopitaux De Marseille
- Brief Summary
Consensual antibiotic protocols have been developed and validated locally by infectious disease specialists, internists and emergency physicians, in order to encourage their compliance. A preliminary study was conducted from June 2015 to February 2016, including 622 patients admitted to the emergency department for infectious syndrome such as /
* Pneumoniae
* Urinary tract infection
* Cellulitis
* Meningitis
* Malaria
* Febrile neutropenia
* Febrile acute diarrhea
* Fever back to the tropics
* Angina
* sexually transmitted infection This prospective study will observe and analyze the adherence of prescribers to these protocols. With description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols. In order to limit the length of stay and reduce the cost of hospitalization..
- Detailed Description
Consensual antibiotic protocols have been developed and validated locally by infectious disease specialists, internists and emergency physicians, in order to encourage their compliance. A preliminary study was conducted from June 2015 (setting up protocols) to February 2016, including 622 patients admitted to the emergency department for infectious syndrome such as /
* Pneumoniae
* Urinary tract infection
* Cellulitis
* Meningitis
* Malaria
* Febrile neutropenia
* Febrile acute diarrhea
* Fever back to the tropics
* Angina
* sexually transmitted infection This prospective study will observe and analyze the adherence of prescribers to these protocols. With description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols. In order to limit the length of stay and reduce the cost of hospitalization..
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 2000
- Patient admitted to emergency for infectious syndrome
- Patient > 18 years old.
- Patient who accept to have his medical records reviewed for research.
- Patient < 18 years old.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description experimental group antibiotic protocol, according to a syndromic approach • Patient admitted to emergency for infectious syndrome Description of antibiotic protocol, according to a syndromic approach will be performed
- Primary Outcome Measures
Name Time Method List of Antibiotic treatment up to 12 weeks Description of the prescribed antibiotic treatment depending of infectious syndrome: name, duration for each treatment during hospitalization
Data will be collected in the medical files:
* date of introduction of antibiotic treatment
* withdrawal dates
* stop dates
* antibiotic classesAdverse events up to 12 weeks Description of the cause of non adherence to antibiotic treatment initiates at hospital admission of antibiotherapy:
Data will be collected in the medical files of patients:
events leading to withdrawal or stop treatment (insufficiency renal, allergic reaction ... etc) date of events aggravation or recovery
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Assistance Publique Des Hopitaux de Marseille
🇫🇷Marseille, Paca, France