• Internal medicine journal · Mar 2008

    Empiric antibiotic prescribing for patients with community-acquired pneumonia: where can we improve?

    • K L Buising, K A Thursky, J F Black, L Macgregor, A C Street, M P Kennedy, and G V Brown.
    • Victorian Infectious Diseases Service, The Royal melbourne Hospital, Melbourne, Victoria, Australia. kirsty.buising@mh.org.au
    • Intern Med J. 2008 Mar 1;38(3):174-7.

    BackgroundCommunity acquired pneumonia is one of the most common infections for which antibiotics are prescribed in Australia.MethodsWe audited empiric antibiotic prescribing for 392 adults with community-acquired pneumonia.ResultsOnly 61.9% of patients received empiric antibiotic coverage for both typical and atypical pathogens. Of those who required intensive care unit management, 34.6% did not receive antibiotic cover for atypical pneumonia pathogens within the first 24 h. Approximately 21.9% of patients reporting antibiotic allergies were given antibiotics to which they had a documented allergy.ConclusionEfforts to improve prescribing practices could be focused towards identifying patients with severe illness early and improving recognition of documented allergies.

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