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

ScImage Awarded U.S. Government DIN-PACS IV Contract
News | PACS | August 16, 2017
ScImage Inc. was recently awarded a new DIN-PACS IV (Digital Imaging Network/Picture Archiving and Communications...
Neighbors Emergency Center Selects Novarad PACS/RIS
News | PACS | August 15, 2017
August 15, 2017 — Novarad Corp.
Fujifilm Launches Synapse PACS Version 5
Technology | PACS | August 03, 2017
August 3, 2017 – Fujifilm Medical Systems U.S.A. Inc.
RamSoft has teamed up with Availity to bring healthcare providers Patient Access and Patient Authorizations
News | PACS | July 31, 2017
RamSoft has teamed up with Availity to bring healthcare providers Patient Access and Patient Authorizations, two fully...
Agfa Receives FDA 510(k) for Xtend Functionalities on Xero Universal Viewer
Technology | Remote Viewing Systems | July 27, 2017
Agfa HealthCare announced it has received U.S. Food and Drug Administration (FDA) 510(k) clearance for the Xero Xtend...
Philips Receives FDA 510(k) Clearance for IntelliSpace Portal 9.0
Technology | Advanced Visualization | June 29, 2017
Philips announced it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) to market...
Envision Diagnostic Center Deploys Exa PACS Across 11 Facilities
News | Enterprise Imaging | June 28, 2017
Envision Diagnostic Center (Novi, Mich.) has implemented Exa PACS (picture archiving and communication system) from...
Fujifilm's Synapse PACS Granted Authority to Operate Under New U.S. DoD Process
News | PACS | June 26, 2017
June 26, 2017 — Fujifilm Medical Systems U.S.A. Inc.
News | PACS | June 23, 2017
Medidata and Median Technologies announced a new collaboration to streamline the growth and use of medical imaging in...
RamSoft Partners With Gamel to Enhance Patient Care in Peruvian Market
News | PACS | June 23, 2017
RamSoft announced a new partnership with Peru-based medical imaging equipment provider, Gamel. With RamSoft’s...
Overlay Init