ISSN: 1859 - 2872
Investigation on primary management of community-acquired pneumonia on patients admitted via the Emergency Department from 06/2018 to 04/2019 at University Medical Center Hochiminh City
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Abstract
Objective: To investigate the bacterial pathogens, the choice of antibiotics and rationality of antibiotic indication among patients with community-acquired pneumonia (CAP) at University Medical Center Hochiminh City (UMC, HCMC). Subject and method: A cross-sectional study was conducted on 300 patients with CAP who were admitted via the Emergency Department (ED) and subsequently transfered to the Respiratory Department or the Intensive Care Unit at UMC, HCMC from June 2018 to April 2019. Medical records were reviewed for data analysis. Result: The most common isolated bacteria were Acinetobacter baumannii (37.7%) and Klebsiella pneumoniae (30.4%). Beta lactam antibiotics were the most common antimicrobial monotherapy observed (39% in the ED and 42% in clinical departments). The proportions of adherence to antimicrobial practice guidelines at the ED and clinical departments were 64.8% and 64.3%, respectively. There were 86% of patients successfully cured. Multivariate logistic regression analysis showed that non-adherence to guidelines in clinical departments associated with a reduction clinical cure rate (OR = 0.209, 95% CI: 0.061-0.711, p=0.012). Conclusion: Results from the study revealed the suboptimal adherence to CAP treatment guidelines at ED and clinical departments in the study population, thus emphasizing the importance of adherence to CAP guidelines in clinical settings.
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