Adherence to Therapeutic Guidelines for Patients with Community-Acquired Pneumonia in Australian Hospitals

Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine

Perspective

N.D. Friedman¹  A.J. Hughes¹  I. Gunadasa²  N.R. Adler²  H.M. Weber² 

[1] Departments of General Medicine and Infectious Diseases, Barwon Health, Geelong, Victoria, Australia.;School of Medicine, Deakin University, Geelong, Victoria, Australia;

关键词: community-acquired pneumonia;    pneumonia severity tools;    clinical guidelines;    antimicrobial prescribing;   

DOI  :  10.4137/CCRPM.S17978

 received in 2014-06-16, accepted in 2014-08-16,  发布年份 2014

来源: Sage Journals

【 摘 要 】

Community-acquired pneumonia (CAP) is a significant cause of morbidity and mortality, particularly in elderly patients, and is associated with a considerable economic burden on the healthcare system. The combination of high incidence and substantial financial costs necessitate accurate diagnosis and appropriate management of patients admitted with CAP. This article will discuss the rates of adherence to clinical guidelines, the use of severity scoring tools and the appropriateness of antimicrobial prescribing for patients diagnosed with CAP. The authors maintain that awareness of national and hospital guidelines is imperative to complement the physicians’ clinical judgment with evidence-based recommendations. Increased use of pneumonia severity assessment tools and greater adherence to therapeutic guidelines will enhance concordant antimicrobial prescribing for patients with CAP. A robust and multifaceted educational intervention, in combination with antimicrobial stewardship programs, may enhance compliance of CAP guidelines in clinical practice in Australia.

【 授权许可】

CC BY-NC   
© 2014 SAGE Publications.