Naslov
Managing adult patients with infectious diseases in emergency departments: international ID-IRI study
(Managing adult patients with infectious diseases in emergency departments: international ID-IRI study)

Autori
Erdem, Hakan ; Hargreaves, Sally ; Ankarali, Handan ; Caskurlu, Hulya ; Ceviker, Sevil Alkan ; Bahar- Kacmaz, Asiye ; Meric-Koc, Meliha ; Altindis, Mustafa ; Yildiz-Kirazaldi, Yasemin ; Kizilates, Filiz ; Alsalman, Jameela ; Cag, Yasemin ; Kamal, Abu Hena Mostafa ; Dokmetas, Ilyas ; Dindar-Demiray, Emine Kubra ; Shehata, Ghaydaa Ahmed ; Hasman, Hakan ; Sadykova, Ainur ; Llopis, Ferran ; Ramosaco, Ergys ; Logar, Mateja ; Alay, Handan ; Kesmez-Can, Fatma ; Ruch, Yvon ; Bulut, Dilek ; Jankovic Makek, Mateja ; Marino, Andrea ; Mahboob, Amjad ; El-Kholy, Amani ; Abdallah, Dirar ; Sefa-Sayar, Merve ; Karaali, Ridvan ; Aslan, Selda ; Dar, Razi Even ; Abdalla, Esam ; Monzón-Camps, Helena ; Baljić, Rusmir ; Mgdalena, Dumitru Irina ; Naghili, Behrouz ; Abbas Dafalla, Mohamed Elhassan ; Alwashmi, Ameen S.S. ; Carmen, Cernat Roxana ; Ramirez-Estrada, Sergio ; Wojewodzka-Zelezniakowicz, Marzena ; Akyildiz, Ozay ; Zajkowska, Joanna ; El-Sokkary, Rehab ; Pandya, Nirav ; Amer, Fatma ; Alavi-Darazam, Ilad ; Grgić, Svjetlana ; Wegdan, Ahmed Ashraf ; El- Kholy, Jehan ; Bulut-Avsar, Cansu ; Kulzhanova, Sholpan ; Tasbakan, Meltem ; Kumari, Hema Prakash ; Dirani, Natalia ; Koganti, Kalyan ; Konkayev, Aidos K. ; Petrov, Michael M. ; Cascio, Antonio ; Liskova, Anna ; Del Vecchio, Rosa Fontana ; Lambertenghi, Lorenza ; Mladenov, Nikolay ; Oncu, Serkan ; Rello, Jordi

Izvornik
Journal of chemotherapy (1120-009X) 33 (2021), 5; 302-318

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
emergency ; antibiotic ; elderly ; infection ; sepsis ; treatment

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA