Clinical and Economic Impact of Interventions by a Clinical Pharmacist on Antibiotic Use on Surgical Wards
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Inappropriate or incorrect use of antibacterials exerts selection pressure on pathogens potentiating emergence of resistance, puts patients at risk for unnecessary adverse drug reactions and potentially prolongs the length of stay in hospital thus increasing healthcare costs.
In an effort to improve the quality of antibiotic drug therapy on surgical wards of a large university hospital, specific consulting by a clinical pharmacist was established.
The objective of this study is to assess the impact of pharmaceutical consulting on the quality and costs of antibiotic use in surgical wards.
Comparison:
Within a control period the current pattern of antibiotic use is monitored. During the intervention period, the impact of the interventions made by the clinical pharmacist on antibiotic use is examined. One ward serves as a parallel control group; no intervention is being made on this ward throughout this study.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Bavaria
-
Munich, Bavaria, Tyskland, 81377
- Luwig Maximilians University - Klinikum Grosshadern
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- female and male patients receiving antibiotics for a proven or suspected infection on designated surgical wards
Exclusion Criteria:
- patients under 18
- patients unable or unwilling to consent to their data being evaluated
- patients receiving antibiotics perioperatively as prophylaxis
- patients receiving antibiotics for less than 48hrs
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Andet: Pharmaceutical counseling
|
to measure if information and advice by a pharmacist has an impact on quality and quantity of prescribed antibacterials
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
overall duration of antibiotic therapy during study period
Tidsramme: Feb 2008
|
Feb 2008
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
iv to oral switch
Tidsramme: Feb 2008
|
number of courses of iv antibiotics switched to oral antibiotics; duration of iv treatment
|
Feb 2008
|
|
compliance of treatment with hospital formulary for antibiotic therapy
Tidsramme: Feb 2008
|
Feb 2008
|
|
|
cost of antibiotic therapy
Tidsramme: Feb 2008
|
Feb 2008
|
|
|
number and duration of therapy with antibiotics with redundant spectra
Tidsramme: Feb 2008
|
Feb 2008
|
Samarbejdspartnere og efterforskere
Efterforskere
- Studieleder: Karl-Walter Jauch, Prof. Dr., Klinikum Großhadern
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- AW2007
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