The purpose of this study is to evaluate the impact of a structured package (bundle) in reducing the use of antimicrobials and hospital stay of patients with community-acquired pneumonia (CAP), and no increase in mortality of these patients in different hospitals.
Study Type
OBSERVATIONAL
Enrollment
968
Fundación Pública Progreso y Salud
Seville, Sevilla, Spain
RECRUITINGAntimicrobial use in patients hospitalized for CAP.
It is measured in defined daily doses (DDD) per 100 hospital stay of patients hospitalized with CAP.
Time frame: twelve months
Mortality rate to 30 days
Number of death of patients hospitalized with CAP, stratified by CURB-65 score.
Time frame: twelve months
CAP severity CURB-65 or PSI registered.
Implementation of quality indicators in the management of CAP. They are expressed as dichotomous variables (yes / no): Numbers of doctors who register on the clinical history the evaluation of CAP severity by CURB-65 or PSI at hospitalization.
Time frame: twelve months
Microbiological samples at admission.
Implementation of quality indicators in the management of CAP. They are expressed as dichotomous variables (yes / no): Numbers of doctors who taking all microbiological samples recommended in the guideline in the first 6 hours of patient admission.
Time frame: twelve months
Appropriate supportive treatment
Implementation of quality indicators in the management of CAP. They are expressed as dichotomous variables (yes / no): Number of doctors who take supportive treatment according to guideline during the hospitalization.
Time frame: Twelve months
Empirical treatment
Implementation of quality indicators in the management of CAP. They are expressed as dichotomous variables (yes / no): Number of doctors who prescribed empirical treatment according to the guideline at admission.
Time frame: Twelve months
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Appropriate sequential therapy.
Implementation of quality indicators in the management of CAP. They are expressed as dichotomous variables (yes / no): Number of doctors who switch to oral therapy according to guideline.
Time frame: Twelve months
Specific antimicrobial treatment
Implementation of quality indicators in the management of CAP. They are expressed as dichotomous variables (yes / no): Number of doctors who prescribed the specific antimicrobial treatment defined in the guideline
Time frame: Twelve months
Total duration of antibiotic therapy.
Implementation of quality indicators in the management of CAP. They are expressed as dichotomous variables (yes / no): Number of doctors who prescribe an antimicrobial treatment during 7 days or less, or 5 days or less after clinical improvement.
Time frame: Twelve months