Status:

UNKNOWN

Antibiotic Prescription Relevance Indicators: Calculation From Electronic Health Records

Lead Sponsor:

University Hospital, Bordeaux

Collaborating Sponsors:

University of Bordeaux

Conditions:

Surgery

Antibiotic

Eligibility:

All Genders

18+ years

Brief Summary

This research focuses on the development and validation of indicators on the relevance of antibiotic prescriptions. The investigators want to propose transferable tools to other healthcare institution...

Detailed Description

According to the national program to control Antimicrobial resistance, hospitals are required to report two indicators on antibiotic prescriptions appropriateness: 1/the percentage of inappropriate tr...

Eligibility Criteria

Inclusion

  • Patients whose medical and administrative data are available in an electronic format in the hospital information system
  • Adult patients aged over 18;
  • Patients hospitalized at the Bordeaux University Hospital or one of the hospital of the territorial organization ;
  • Patients hospitalized between 01/01/2022 and 31/12/2024 ;
  • Indicator 1: "antibiotic treatments of more than 7 days without justifications"
  • Patients with of a hospitalization of more than 24 hours;
  • Patients with urinary or respiratory infections on admission or during the hospitalization (including sepsis related to urinary or respiratory infection);
  • Patients with a prescription for at least one antibiotic, initiated on admission or during the hospitalization, for more than 7 days including the hospital prescription AND the discharge prescription
  • Indicator 2: "surgical antibiotic prophylaxis lasting more than 24 hours"
  • Patients with surgery requiring an antibiotic prophylaxis
  • Patients having received antibiotic prophylaxis

Exclusion

  • Patients not hospitalized at the Bordeaux University Hospital or one of the hospital of the territorial organization.
  • Patients whose medical and administrative data are not available in an electronic format in the hospital information system;
  • Patients who have refused the secondary use of their data for research purpose
  • Indicator 1: "Indicator of antibiotic treatments of more than 7 days without justifications"
  • Patients with another concomitant infectious pathology
  • Patient with pulmonary or urinary tuberculosis
  • Indicator 2: "surgical antibiotic prophylaxis lasting more than 24 hours"
  • Patients without any surgery or with surgery for which antibiotic prophylaxis is not required
  • Patients without antibiotic prophylaxis

Key Trial Info

Start Date :

January 2 2021

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2024

Estimated Enrollment :

2115 Patients enrolled

Trial Details

Trial ID

NCT05420168

Start Date

January 2 2021

End Date

December 31 2024

Last Update

June 15 2022

Active Locations (8)

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Page 1 of 2 (8 locations)

1

Arcachon Hospital

Arcachon, France, 33120

2

Blaye Hospital

Blaye, France, 33390

3

Bordeaux University Hospital

Bordeaux, France, 33000

4

Charles Perrens Hospital

Bordeaux, France, 33000