Jornal de Prática Geral

Emergency Department Antibiotic Treatment: The Best Prescription is in Fact the Optimal Prescription

Abstract

Jessica Pykett*

Patients who were hospitalised and referred to the ED with an infection diagnosis were included in a retrospective analysis. Day-0 (the initial prescription from the ED) and Day-2 (the reevaluation) antibiotic treatments were graded as optimal (if fully adhering to the guidelines in terms of molecule, dose, and route of administration), adapted (if the prescribed molecule was microbiologically active but not advised as first-line treatment, or in case of a wrong dose), or inadequat) (other situations). The primary outcome was the beginning of a negative event (death, transfer to intensive care unit, or re-hospitalization). Multivariate analysis was used to evaluate the prognostic factors linked to survival without a negative event.