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Internal medicine journal · Jun 2022
Appropriate prescribing of azithromycin for community-acquired pneumonia.
- Sue Qian, Johnny Siu, Abbas Hussein, and Yizhong Zheng.
- Department of Respiratory and Sleep Medicine, St George Hospital, Sydney, New South Wales, Australia.
- Intern Med J. 2022 Jun 1; 52 (6): 1079-1082.
AbstractAzithromycin is prescribed for atypical antimicrobial cover in severe community-acquired pneumonia. Inappropriate azithromycin administration incurs unnecessary financial costs, exacerbates antimicrobial resistance and risks QTc interval prolongation leading to cardiac arrhythmias. The present study demonstrated that a majority of patients were prescribed azithromycin without having electrocardiograms to assess the QTc interval and without meeting criteria for severe community-acquired pneumonia based on CURB-65 score.© 2022 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.
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