A complicated decision: Empiric antibiotics in children with complicated pneumonia

2022 ◽  
Author(s):  
Matthew J. Molloy ◽  
Joanna E. Thomson
Keyword(s):  
Empiric Antibiotics ◽  
Complicated Pneumonia

Analysis of Life-Threatening Complications of Deep Neck Abscess and the Impact of Empiric Antibiotics

ORL ◽  
2008 ◽  
Vol 70 (4) ◽  
pp. 249-256 ◽  
Author(s):  
Shih-Wei Yang ◽  
Ming-Hsun Lee ◽  
Yun-Shien Lee ◽  
Shu-Huan Huang ◽  
Tai-An Chen ◽  
...  
Keyword(s):  
Neck Abscess ◽  
Empiric Antibiotics ◽  
Life Threatening ◽  
Deep Neck Abscess ◽  
The Impact

scholarly journals Prescribing Empiric Antibiotics for Febrile Neutropenia: Compliance with Institutional Febrile Neutropenia Guidelines

Pharmacy ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 83 ◽  
Author(s):  
Doaa Naeem ◽  
Majed Alshamrani ◽  
Mohammed Aseeri ◽  
Mansoor Khan
Keyword(s):  
Febrile Neutropenia ◽  
Cancer Patients ◽  
Bacterial Infections ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Management Guidelines ◽  
Empiric Antibiotics ◽  
Inappropriate Use ◽  
Common Diagnosis ◽  
The Mean

Background: Febrile neutropenia (FN) is an oncologic emergency which should be treated immediately with empiric antibiotics. Different institutions observe different antibiograms and use different FN management guidelines. Our center implemented FN management guidelines for adult cancer patients in 2009. Hence, we decided to assess compliance with FN management guidelines and to describe the pattern of bacterial infections. Method: We conducted a cross-sectional study on all adult cancer patients admitted with FN. Data were collected from electronic medical records between January and December 2014. Results: One hundred FN episodes met the study inclusion criteria. The mean age of the patients was 41 ± 17 years; 52% (52 patients) were women. The most common diagnosis was lymphoma (33%). In terms of compliance to institutional FN guidelines, 55% of patients received guideline non-compliant treatment. The most common non-compliant treatment was incorrect amikacin dosing in 31% of patients, followed by incorrect vancomycin dosing in 20%, incorrect piperacillin/tazobactam dosing in 19%, inappropriate use of carbapenems in 18%, and non-compliant vancomycin use in 12% of patients. Bacterial isolates were only observed in 19% of the FN episodes. Among these 19 episodes of FN, Gram-negative pathogens were predominant and were identified in 74% of the episodes, followed by Gram-positive pathogens in 16% and polymicrobial pathogens in 10%. The mean time to defervescence was 2.21 ± 2 days. Conclusion: Our study concluded that there was a high percentage of non-compliance with our institutional FN management guidelines. We recommend following appropriate empiric antibiotic doses and indications as per institutional guidelines.

Intravenous Versus Oral Antibiotics for Postdischarge Treatment of Complicated Pneumonia

PEDIATRICS ◽  
2016 ◽  
Vol 138 (6) ◽  
pp. e20161692-e20161692 ◽  
Author(s):  
S. S. Shah ◽  
R. Srivastava ◽  
S. Wu ◽  
J. D. Colvin ◽  
D. J. Williams ◽  
...  
Keyword(s):  
Oral Antibiotics ◽  
Complicated Pneumonia

scholarly journals Complicated Pneumonia: Pick and Choose, but Don’t Choose the PICC

2018 ◽  
Vol 8 (8) ◽  
pp. 499-501
Author(s):  
Burton H. Shen ◽  
Nivedita Muralidhar ◽  
Jeffrey Riese
Keyword(s):  
Complicated Pneumonia

scholarly journals Pathogen-Negative Sepsis—An Opportunity for Antimicrobial Stewardship

2019 ◽  
Vol 6 (10) ◽  
Author(s):  
Gabriel C Lockhart ◽  
Jacob Hanin ◽  
Scott T Micek ◽  
Marin H Kollef
Keyword(s):  
Median Duration ◽  
Antimicrobial Stewardship ◽  
Hospitalized Patients ◽  
Interquartile Range ◽  
Common Reason ◽  
Empiric Antibiotics

Abstract Sepsis is a common reason for empiric antibiotics among hospitalized patients. We found that the median duration of empiric antibiotics (interquartile range) was 6 (4–9) days among 1047 survivivors with pathogen-negative sepsis. These findings suggest that patients with pathogen-negative sepsis could represent an important opportunity for antimicrobial stewardship.

Hypereosinophilic Syndrome Masquerading as Complicated Pneumonia

2020 ◽  
Vol 87 (10) ◽  
pp. 854-855
Author(s):  
Sachin Singh ◽  
Jagdish Prasad Goyal ◽  
Prawin Kumar
Keyword(s):  
Hypereosinophilic Syndrome ◽  
Complicated Pneumonia
Sign in / Sign up

Export Citation Format

Share Document