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Effect of a simple educational intervention on the hospital management of community-acquired pneumonia.
Respirology. 2007 May; 12(3):389-93.R

Abstract

BACKGROUND AND OBJECTIVES

Both the speed of commencement and the appropriateness of i.v. antibiotic administration influence outcomes in patients hospitalized with community-acquired pneumonia (CAP). While quality improvement projects have been linked to better CAP management and outcomes, there are limited data evaluating simple and achievable interventions.

METHODS

A simple educational programme targeting rapid and appropriate antibiotic administration for the inpatient treatment of CAP was evaluated using a retrospective chart review of all patients admitted through the emergency department with CAP during 'pre-intervention' and 'post-intervention' periods.

RESULTS

There were 108 pre-intervention patients (56 women, median age 63 years) and 88 post-intervention patients (43 women, median age 61 years) included in the evaluation. Comparison of indicators of care in the post-intervention period with those in the pre-intervention period showed there were significant changes in: median time to antibiotic administration (2.5 h vs 3.5 h, 95% CI: 0-1.25, P = 0.01); subjects not prescribed macrolide antibiotics (2.3% vs 10.2%, 95% CI for OR 1.02-46.19, P = 0.04); hospital length of stay (3.5 vs 6 days, 95% CI: 1-3, P < 0.001) and mortality (0% vs 6.5%, 95% CI for OR 1.13 to infinity, P = 0.02).

CONCLUSION

A simple, inexpensive educational intervention was associated with significant improvements in the hospital management of CAP. The widespread introduction of similar programmes has the potential to effect substantial improvements in management, and possibly patient outcomes, and requires prospective confirmation in a larger, randomized sample.

Authors+Show Affiliations

Department of Respiratory Medicine, Mater Adult Hospital, Brisbane, Queensland, Australia. david_serisier@mater.org.auNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

17539843

Citation

Serisier, David J., and Simon D. Bowler. "Effect of a Simple Educational Intervention On the Hospital Management of Community-acquired Pneumonia." Respirology (Carlton, Vic.), vol. 12, no. 3, 2007, pp. 389-93.
Serisier DJ, Bowler SD. Effect of a simple educational intervention on the hospital management of community-acquired pneumonia. Respirology. 2007;12(3):389-93.
Serisier, D. J., & Bowler, S. D. (2007). Effect of a simple educational intervention on the hospital management of community-acquired pneumonia. Respirology (Carlton, Vic.), 12(3), 389-93.
Serisier DJ, Bowler SD. Effect of a Simple Educational Intervention On the Hospital Management of Community-acquired Pneumonia. Respirology. 2007;12(3):389-93. PubMed PMID: 17539843.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of a simple educational intervention on the hospital management of community-acquired pneumonia. AU - Serisier,David J, AU - Bowler,Simon D, PY - 2007/6/2/pubmed PY - 2007/8/1/medline PY - 2007/6/2/entrez SP - 389 EP - 93 JF - Respirology (Carlton, Vic.) JO - Respirology VL - 12 IS - 3 N2 - BACKGROUND AND OBJECTIVES: Both the speed of commencement and the appropriateness of i.v. antibiotic administration influence outcomes in patients hospitalized with community-acquired pneumonia (CAP). While quality improvement projects have been linked to better CAP management and outcomes, there are limited data evaluating simple and achievable interventions. METHODS: A simple educational programme targeting rapid and appropriate antibiotic administration for the inpatient treatment of CAP was evaluated using a retrospective chart review of all patients admitted through the emergency department with CAP during 'pre-intervention' and 'post-intervention' periods. RESULTS: There were 108 pre-intervention patients (56 women, median age 63 years) and 88 post-intervention patients (43 women, median age 61 years) included in the evaluation. Comparison of indicators of care in the post-intervention period with those in the pre-intervention period showed there were significant changes in: median time to antibiotic administration (2.5 h vs 3.5 h, 95% CI: 0-1.25, P = 0.01); subjects not prescribed macrolide antibiotics (2.3% vs 10.2%, 95% CI for OR 1.02-46.19, P = 0.04); hospital length of stay (3.5 vs 6 days, 95% CI: 1-3, P < 0.001) and mortality (0% vs 6.5%, 95% CI for OR 1.13 to infinity, P = 0.02). CONCLUSION: A simple, inexpensive educational intervention was associated with significant improvements in the hospital management of CAP. The widespread introduction of similar programmes has the potential to effect substantial improvements in management, and possibly patient outcomes, and requires prospective confirmation in a larger, randomized sample. SN - 1323-7799 UR - https://www.unboundmedicine.com/medline/citation/17539843/Effect_of_a_simple_educational_intervention_on_the_hospital_management_of_community_acquired_pneumonia_ L2 - https://doi.org/10.1111/j.1440-1843.2007.01058.x DB - PRIME DP - Unbound Medicine ER -