News | July 23, 2007

Reducing Inappropriate Antimicrobial Use In EDs Possible But Challenging

July 24, 2007 — The latest results from a study designed to reduce the inappropriate prescribing of antimicrobials in hospital emergency departments (EDs) describe some progress as well as challenges to achieving significant and consistent change.

The Improving Antibiotic Use in Acute Care Treatment (IMPAACT) project is a four-year program involving EDs in 16 hospitals in eight U.S. cities. Initial results from the project have been published in emergency-medicine journals. IMPAACT principal investigator Ralph Gonzales of the University of California, San Francisco, gave an overview of the project and its most recent findings June 26 during the National Foundation for Infectious Diseases Antimicrobial Resistance Conference in Bethesda, Maryland.

"The stimulus for this program was that over the last 10 years, we had seen some decline-about 15-20%-in total antibiotic use for respiratory infections in ambulatory care," Gonzales said. "But we were not seeing that same decline in emergency departments."

During the first year of the IMPAACT project, researchers obtained baseline values for antimicrobial prescribing in the EDs of eight Department of Veterans Affairs (VA) hospitals and eight academic medical centers located in the same city as each VA hospital. The study examined prescribing for patients diagnosed with acute respiratory-tract infections, including antimicrobial-responsive conditions-pneumonia, acute exacerbations of chronic bronchitis, pharyngitis, and sinusitis-and for patients with acute bronchitis or the common cold, for which antimicrobials are not effective.

Gonzales estimated that about 25-30% of patients with respiratory symptoms actually had a bacterial infection. But he said that given the lack of definitive diagnostic tests, a realistic benchmark for appropriate prescribing would result in an antimicrobial prescription for "somewhere between 30 and 40%" of the patients with respiratory symptoms.

For more information: www.ashp.org

Related Content

Wake Radiology Launches First Installation of EnvoyAI Platform
News | Artificial Intelligence | June 13, 2018
Artificial intelligence (AI) platform provider EnvoyAI recently completed their first successful customer installation...
PACS and the Road to Reconstruction
Feature | PACS | June 05, 2018 | By Dave Whitney and Jef Williams
The PACS — picture archiving and communication systems — have been in existence for more than 45 years. One of the...
Intelerad Introduces InteleOne Maestro Enterprise Workflow Orchestration Solution
Technology | PACS Accessories | May 31, 2018
Intelerad Medical Systems announced the release of InteleOne Maestro, its new enterprise imaging workflow orchestration...
Konica Minolta Releases New Turn-Around-Time Feature for Exa Workflow
Technology | PACS | May 30, 2018
Konica Minolta Healthcare Americas Inc. will introduce a new worklist feature, Turn-Around-Time (TAT), for its Exa...
Illuminate and Medexprim Partner to Enhance PACS Data Mining
News | PACS | May 30, 2018
U.S.-based Softek Illuminate and the entrepreneurial French firm Medexprim will be combining, distributing and...
Intelerad Launches AI Initiative for Imaging Workflow Intelligence and Analytics
News | Artificial Intelligence | May 29, 2018
Intelerad Medical Systems announced the launch of its artificial intelligence (AI) initiative along with the expansion...
Australia's Largest Public Health System Selects Sectra for Enterprise Imaging IT Solution
News | PACS | May 24, 2018
Australia’s NSW Health signed a Proof of Concept agreement naming Sectra as the preferred vendor for a large enterprise...
Mach7 Technologies and Client Outlook Partner on Reconstructed Enterprise PACS Solution
News | Enterprise Imaging | May 23, 2018
May 23, 2018 — Mach7 Technologies and Client Outlook announced their expanded partnership to focus on today’s prevale
News | Enterprise Imaging | May 17, 2018
Enterprise imaging workflow software provider Laurel Bridge Software announced new capabilities for its Compass -...
EnvoyAI, TeraRecon and Insignia Bringing Artificial Intelligence to U.K. Customers
Technology | Advanced Visualization | May 11, 2018
EnvoyAI announced a new integration with Insignia Medical Systems’ InSight PACS (picture archiving and communication...
Overlay Init