Literature DB >> 30174570

Y Moutaouakkil1,2, S Siah3, A Bennana4, Y Tadlaoui1, S Makram1, Y Cherrah2, Y Bousliman2, J Lamsaouri1.   

Abstract

Bacterial resistance is a major concern and the proper use of antibiotics is a global public health priority. Inappropriate use of antibiotic therapy can have serious ecological and pharmaco-economic consequences. The objective of our work was to study the reevaluation of probabilistic antibiotherapy in the burns intensive care unit. A prospective study concerning the clinical-biological reassessment of antibiotic therapy was set up in the burns intensive care unit at the Military Hospital Instruction Mohammed V of Rabat. The data was collected over a period of 6 months, from June 1, 2017 to November 30, 2017. During the study period, 142 patients received an antibiotic prescription. Only 68 serious hospitalized septic patients were included in our study. The population was predominantly male (75%). The average age of our patients was 36 years, ranging from 15 to 56 years old. The average length of hospitalization in intensive care was 10 days. Of the 68 antibiotic regimens implemented, the reassessment rate was 72.06%, with 75% justified treatment rates, and 25% not justified. Therapeutic de-escalation was performed in 8 cases (11.76%), when it could have been performed 25 times (36.76%). This is justified by the nosocomial context of the burns intensive care unit with a bacterial ecosystem of BMR type (Klebsiella pneumoniae, Acinetobacter baumanii, Escherichia coli and Staphylococcus coagulase negative), which restricts the choice of antibiotic therapy to some molecules. Clinico-biological re-evaluation of antibiotic therapy is essential to fight the misuse of antibiotics. This study allowed us to evaluate the re-evaluation practices of antibiotic therapy at 48-72h in burns resuscitation. Subsequently, several actions were carried out: the appointment of a pharmacist in antibiotherapy within the Pole Pharmacy of the Mohammed V Military Hospital in Rabat, the activation of an Anti-Infectious Committee and the dispensing of antibiotics via Pyxis MedStation.

Entities:  

Year:  2018        PMID: 30174570      PMCID: PMC6116649     

Source DB:  PubMed          Journal:  Ann Burns Fire Disasters        ISSN: 1592-9558


  23 in total

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4.  Inappropriate initial treatment of secondary intra-abdominal infections leads to increased risk of clinical failure and costs.

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Journal:  Pathol Biol (Paris)       Date:  2011-02

6.  Antimicrobial stewardship program and quality of antibiotic prescriptions.

Authors:  P Etienne; P-M Roger; P Brofferio; C Labate; V Blanc; F Tiger; N Négrin; S Léotard
Journal:  Med Mal Infect       Date:  2011-09-09       Impact factor: 2.152

7.  Antibiotic prescription evaluation in the rehabilitation ward of a geriatric hospital.

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Journal:  Med Mal Infect       Date:  2015-11-11       Impact factor: 2.152

8.  Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock.

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10.  De-escalation as part of a global strategy of empiric antibiotherapy management. A retrospective study in a medico-surgical intensive care unit.

Authors:  Jérôme Morel; Julie Casoetto; Richard Jospé; Gérald Aubert; Raphael Terrana; Alain Dumont; Serge Molliex; Christian Auboyer
Journal:  Crit Care       Date:  2010-12-17       Impact factor: 9.097

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  1 in total

1. 

Authors:  S Frigui; Y Bourbiaa; A Mokline; H Naija; A A Messadi; L Thabet
Journal:  Ann Burns Fire Disasters       Date:  2021-03-31
  1 in total

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