Managing adult patients with infectious diseases in emergency departments: international ID-IRI study

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dc.contributor.authorErdem, Hakan
dc.contributor.authorHargreaves, Sally
dc.contributor.authorAnkarali, Handan
dc.contributor.authorCaskurlu, Hulya
dc.contributor.authorCeviker, Sevil Alkan
dc.contributor.authorBahar-Kacmaz, Asiye
dc.contributor.authorAlsalman, Jameela
dc.date.accessioned2021-05-03T20:28:03Z
dc.date.available2021-05-03T20:28:03Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractWe aimed to explore factors for optimizing antimicrobial treatment in emergency departments. A single-day point prevalence survey was conducted on January 18, 2020, in 53 referral/tertiary hospitals in 22 countries. 1957 (17%) of 11557 patients presenting to EDs had infections. The mean qSOFA score was 0.37 +/- 0.74. Sepsis (qSOFA >= 2) was recorded in 218 (11.1%) patients. The mean qSOFA score was significantly higher in low-middle (1.48 +/- 0.963) compared to upper-middle (0.17 +/- 0.482) and high-income (0.36 +/- 0.714) countries ( P < 0.001). Eight (3.7%) patients with sepsis were treated as outpatients. The most common diagnoses were upper-respiratory (n = 877, 43.3%), lower-respiratory (n = 316, 16.1%), and lower-urinary (n = 201, 10.3%) infections. 1085 (55.4%) patients received antibiotics. The most-commonly used antibiotics were beta-lactam (BL) and BL inhibitors (n = 307, 15.7%), third-generation cephalosporins (n = 251, 12.8%), and quinolones (n = 204, 10.5%). Irrational antibiotic use and inappropriate hospitalization decisions seemed possible. Patients were more septic in countries with limited resources. Hence, a better organizational scheme is required.en_US
dc.identifier.doi10.1080/1120009X.2020.1863696en_US
dc.identifier.issn1120-009X
dc.identifier.issn1973-9478
dc.identifier.pmid33734040en_US
dc.identifier.scopus2-s2.0-85102939065en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1080/1120009X.2020.1863696
dc.identifier.urihttps://hdl.handle.net/11454/69729
dc.identifier.wosWOS:000630391700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal of Chemotherapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmergencyen_US
dc.subjectinfectionen_US
dc.subjectsepsisen_US
dc.subjecttreatmenten_US
dc.subjectantibioticen_US
dc.subjectelderlyen_US
dc.titleManaging adult patients with infectious diseases in emergency departments: international ID-IRI studyen_US
dc.typeArticleen_US

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