To measure the rate of unnecessary antimicrobials (UAU), and the effect of the infectious disease consultation. A 17-week multicenter study, patients’ records were reviewed for antimicrobials. A predefined UAU definition was developed. Excluded patients were those on prophylaxis and less than 1-year-old. The outcome is the UAU rate. Confounders were adjusted by Charlson index and APACHE 2 score. The analysis was by Χ2 and Fischer's Exact Tests and multivariate analysis as appropriate. 662 records were reviewed: 169 qualified the necessary antimicrobial use (NAU) and 493 in the UAU categories. The rate of the UAU was 74.5%. The age means differed (53.85 years for the NAU versus 46.48 years for the UAU, P<0.001) without gender difference (P=0.285). The patients in the UAU category were represented more in UTI, SSTI, BSI, and no infection (P<0.05). The commonest UAU subcategory were non-infectious non-febrile conditions 36.71%, influenza-like illnesses, and viral syndromes 20.08%, combination therapy 17.6%. An infectious disease consultation was significantly associated with less UAU (P ≤ 0.004), and less mortality (P<0.05). In conclusion: UAU rate was high, and an infectious disease consultation significantly reduced the UAU rate and mortality.
| Published in | International Journal of Infectious Diseases and Therapy (Volume 5, Issue 3) |
| DOI | 10.11648/j.ijidt.20200503.14 |
| Page(s) | 56-63 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Unnecessary Antimicrobial Use, Stewardship, Infectious Diseases Consult, Mortality
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APA Style
Jamal Wadi Al Ramahi, Oday Abu Ajamieh, Nadine Marrar, Lana Alalamat, Nour Hasan, et al. (2020). The Rates of the Unnecessary Antimicrobial Use (UAU) and the Effect of the Infectious Disease Consultations: A Cross-Sectional Study. International Journal of Infectious Diseases and Therapy, 5(3), 56-63. https://doi.org/10.11648/j.ijidt.20200503.14
ACS Style
Jamal Wadi Al Ramahi; Oday Abu Ajamieh; Nadine Marrar; Lana Alalamat; Nour Hasan, et al. The Rates of the Unnecessary Antimicrobial Use (UAU) and the Effect of the Infectious Disease Consultations: A Cross-Sectional Study. Int. J. Infect. Dis. Ther. 2020, 5(3), 56-63. doi: 10.11648/j.ijidt.20200503.14
AMA Style
Jamal Wadi Al Ramahi, Oday Abu Ajamieh, Nadine Marrar, Lana Alalamat, Nour Hasan, et al. The Rates of the Unnecessary Antimicrobial Use (UAU) and the Effect of the Infectious Disease Consultations: A Cross-Sectional Study. Int J Infect Dis Ther. 2020;5(3):56-63. doi: 10.11648/j.ijidt.20200503.14
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Download@article{10.11648/j.ijidt.20200503.14,
author = {Jamal Wadi Al Ramahi and Oday Abu Ajamieh and Nadine Marrar and Lana Alalamat and Nour Hasan and Alaa Elddin Jaber and Lara Abdulhadi and Omar Dodin and Amal Matar},
title = {The Rates of the Unnecessary Antimicrobial Use (UAU) and the Effect of the Infectious Disease Consultations: A Cross-Sectional Study},
journal = {International Journal of Infectious Diseases and Therapy},
volume = {5},
number = {3},
pages = {56-63},
doi = {10.11648/j.ijidt.20200503.14},
url = {https://doi.org/10.11648/j.ijidt.20200503.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20200503.14},
abstract = {To measure the rate of unnecessary antimicrobials (UAU), and the effect of the infectious disease consultation. A 17-week multicenter study, patients’ records were reviewed for antimicrobials. A predefined UAU definition was developed. Excluded patients were those on prophylaxis and less than 1-year-old. The outcome is the UAU rate. Confounders were adjusted by Charlson index and APACHE 2 score. The analysis was by Χ2 and Fischer's Exact Tests and multivariate analysis as appropriate. 662 records were reviewed: 169 qualified the necessary antimicrobial use (NAU) and 493 in the UAU categories. The rate of the UAU was 74.5%. The age means differed (53.85 years for the NAU versus 46.48 years for the UAU, P<0.001) without gender difference (P=0.285). The patients in the UAU category were represented more in UTI, SSTI, BSI, and no infection (P<0.05). The commonest UAU subcategory were non-infectious non-febrile conditions 36.71%, influenza-like illnesses, and viral syndromes 20.08%, combination therapy 17.6%. An infectious disease consultation was significantly associated with less UAU (P ≤ 0.004), and less mortality (P<0.05). In conclusion: UAU rate was high, and an infectious disease consultation significantly reduced the UAU rate and mortality.},
year = {2020}
}
TY - JOUR T1 - The Rates of the Unnecessary Antimicrobial Use (UAU) and the Effect of the Infectious Disease Consultations: A Cross-Sectional Study AU - Jamal Wadi Al Ramahi AU - Oday Abu Ajamieh AU - Nadine Marrar AU - Lana Alalamat AU - Nour Hasan AU - Alaa Elddin Jaber AU - Lara Abdulhadi AU - Omar Dodin AU - Amal Matar Y1 - 2020/07/28 PY - 2020 N1 - https://doi.org/10.11648/j.ijidt.20200503.14 DO - 10.11648/j.ijidt.20200503.14 T2 - International Journal of Infectious Diseases and Therapy JF - International Journal of Infectious Diseases and Therapy JO - International Journal of Infectious Diseases and Therapy SP - 56 EP - 63 PB - Science Publishing Group SN - 2578-966X UR - https://doi.org/10.11648/j.ijidt.20200503.14 AB - To measure the rate of unnecessary antimicrobials (UAU), and the effect of the infectious disease consultation. A 17-week multicenter study, patients’ records were reviewed for antimicrobials. A predefined UAU definition was developed. Excluded patients were those on prophylaxis and less than 1-year-old. The outcome is the UAU rate. Confounders were adjusted by Charlson index and APACHE 2 score. The analysis was by Χ2 and Fischer's Exact Tests and multivariate analysis as appropriate. 662 records were reviewed: 169 qualified the necessary antimicrobial use (NAU) and 493 in the UAU categories. The rate of the UAU was 74.5%. The age means differed (53.85 years for the NAU versus 46.48 years for the UAU, P<0.001) without gender difference (P=0.285). The patients in the UAU category were represented more in UTI, SSTI, BSI, and no infection (P<0.05). The commonest UAU subcategory were non-infectious non-febrile conditions 36.71%, influenza-like illnesses, and viral syndromes 20.08%, combination therapy 17.6%. An infectious disease consultation was significantly associated with less UAU (P ≤ 0.004), and less mortality (P<0.05). In conclusion: UAU rate was high, and an infectious disease consultation significantly reduced the UAU rate and mortality. VL - 5 IS - 3 ER -
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