Relationship Between the Clinical Pharmacist & Antibiotic Use by Using the Electronic Program
Relationship Between the Clinical Pharmacist & Antibiotic Use in Selected Infectious Disease Hospitals in El Beheira by Using the Electronic Program, Retrospective Cohort
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The role of clinical pharmacist includes :
- a check of suitable selection and dosing of antimicrobials according to the diagnosis, type of infection, antimicrobial cultures as possible, comorbidities of patients (renal or hepatic function, etc), adverse effect, and drug interaction with other drugs.
- Documentation of the clinical intervention, cost-saving, adverse effect,, antimicrobial culture and antimicrobial consumption on the electronic program (CPC "clinical patient care").
- The clinical pharmacist inspector reviews the data recorded on CPC.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Maged El-Setouhy
- Email: ma.elsetouhy@gmail.com
Study Locations
-
-
-
Alexandria, Egypt, 22511
- Ministers of health
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- All inpatient with infectious disease (disorders caused by organisms as (bacteria, viruses, fungi, or parasites).
Exclusion Criteria:
- Any other cause of hospital admission other than infectious disease.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
exposure group
Data from electronic clinical pharmacist records of two infectious disease hospitals
|
There is no intervention
|
|
Non-exposure group A
Data from medical records of the hospital with no clinical pharmacy.
|
There is no intervention
|
|
Non-exposure group B
Data from a medical record of the hospital with clinical pharmacy, but the department did not cover by the clinical pharmacy
|
There is no intervention
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Antimicrobial consumption
Time Frame: 2 years
|
consumption of antimicrobials (defined daily doses / 100 patient-days)
|
2 years
|
|
Days of therapy (DOT)
Time Frame: 2 years
|
Number of days of each antimicrobial received for therapy
|
2 years
|
|
Length of therapy(LOT)
Time Frame: 2 years
|
The number of days a patient takes an antibacterial drug, regardless of the number of different medications
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
cost savings
Time Frame: 2 years
|
(initial treatment cost × days before intervention) - (cost after intervention × days with this treatment),
|
2 years
|
|
Mortality rate
Time Frame: 2 years
|
in-hospital mortality rate (%)
|
2 years
|
|
Antimicrobial resistance
Time Frame: 2 years
|
resistance defined as resistance to at least one antimicrobial from the panel for all organisms, and for a subset of organisms belonging to the ESKAPE group (Enterococcus faecium, S. aureus, Klebsiella pneumonia, Acinetobacter baumannii, Pseudomonas aeruginosa , and Enterobacter spp.
|
2 years
|
|
The incidence of adverse reaction of antimicrobial
Time Frame: 2 years
|
An unexpected medical problem that happens during treatment with antimicrobial.
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Amira zidane, Ministry of Health and Population, Egypt
Publications and helpful links
General Publications
- Karakonstantis S, Kalemaki D. Antimicrobial overuse and misuse in the community in Greece and link to antimicrobial resistance using methicillin-resistant S. aureus as an example. J Infect Public Health. 2019 Jul-Aug;12(4):460-464. doi: 10.1016/j.jiph.2019.03.017. Epub 2019 Apr 10.
- Dyar OJ, Huttner B, Schouten J, Pulcini C; ESGAP (ESCMID Study Group for Antimicrobial stewardshiP). What is antimicrobial stewardship? Clin Microbiol Infect. 2017 Nov;23(11):793-798. doi: 10.1016/j.cmi.2017.08.026. Epub 2017 Sep 4.
- Ourghanlian C, Lapidus N, Antignac M, Fernandez C, Dumartin C, Hindlet P. Pharmacists' role in antimicrobial stewardship and relationship with antibiotic consumption in hospitals: An observational multicentre study. J Glob Antimicrob Resist. 2020 Mar;20:131-134. doi: 10.1016/j.jgar.2019.07.009. Epub 2019 Jul 16.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 14-2021/13
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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