Evaluation of Antibiotherapy Prescribed for Outpatients From Emergency Departments
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 9,600
- 试验地点
- 1
- 主要终点
- Adequacy to local or national recommendations of antibiotic prescriptions identified on patient discharge prescriptions after a visit in emergency departments.
研究概览
简要总结
French health insurance data indicate that approximately 15% of ambulatory antibiotic consumption is generated by hospital prescriptions. This extra-hospital consumption represents a greater volume than intra-hospital consumption. To date, hospital indicators of good antibiotic use do not include this outpatient dimension. This study will provide a snapshot of the proportion of ambulatory antibiotics generated by emergencies and analyze compliance with management recommendations.This study will serve as a basis for developing indicators of outpatient antibiotic consumption generated by hospital activity and for identifying specific intervention targets aimed at the misuse situations that have been highlighted.
This study will be carried out in the form of a repeated survey on a given day (4 days, one across each season), carried out by the local mobile antibiotic therapy team, using a standardized grid. The survey will concern all the medical records of the patients visiting any emergency department on the days of the survey.
The evaluation of antibiotic therapies prescribed in discharge orders will be carried out in accordance with local management recommendations by the site investigator (infectious disease and/or emergency medicine specialist), who will assess whether the prescription is in accordance with the recommendations or not.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Visit on emergency department on one of the survey days
排除标准
- •Patient opposed to the collection of his/her data
- •Patient under guardianship or curatorship
结局指标
主要结局
Adequacy to local or national recommendations of antibiotic prescriptions identified on patient discharge prescriptions after a visit in emergency departments.
时间窗: through study completion, an average of 1 year
Adequacy to local or national recommendations (adequate/not adequate) of prescriptions, assessed by local investigator (infectious disease and/or emergency medicine specialist) at 4 days of collection: 1 day in each season (spring, summer, autumn and winter).
次要结局
- Adequacy to the local or national recommendations of the antibiotic prescriptions identified on the patient discharge prescriptions by diagnosis.(Through study completion, an average of 1 year)
- Antibiotics prescription rate at discharge from emergency department.(Through study completion, an average of 1 year)
- Factors associated with inadequacy to the local or national recommendations.(Through study completion, an average of 1 year)
- Critical antibiotics prescription rate at discharge from emergency department.(Through study completion, an average of 1 year)
研究者
Clement OURGHANLIAN
Principal Investigator
Henri Mondor University Hospital