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10.3389/fmicb.2015.00546 http://scihub22266oqcxt.onion/10.3389/fmicb.2015.00546 C4452884!4452884!26089819     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Front+Microbiol 2015 ; 6 (ä): ä Nephropedia Template TP {{tp|p=26089819|t=2015. Automatic day-2 intervention by a multidisciplinary antimicrobial stewardship-team leads to multiple positive effects |pdf=|usr=}}{{26089819}} gab.com Text Automatic day-2 intervention by a multidisciplinary antimicrobial stewardship-team leads to multiple positive effects JO: Front Microbiol http://www.kidney.de/pget.php?&tw=1&pmid=26089819 #FOAvip Background: Antimicrobial resistance rates are increasing. This is, among others, caused by incorrect or inappropriate use of antimicrobials. To target this, a multidisciplinary antimicrobial stewardship-team (A-Team) was implemented at the University Medical Center Groningen on a urology ward. Goal of this study is to evaluate the clinical effects of the case-audits done by this team, looking at length of stay (LOS) and antimicrobial use.Methods: Automatic e-mail alerts were sent after 48 h of consecutive antimicrobial use triggering the case-audits, consisting of an A-Team member visiting the ward, discussing the patient?s therapy with the bed-side physician and together deciding on further treatment based on available diagnostics and guidelines. Clinical effects of the audits were evaluated through an Interrupted Time Series analysis and a retrospective historic cohort.Results: A significant systemic reduction of antimicrobial consumption for all patients on the ward, both with and without case-audits was observed. Furthermore, LOS for patients with case-audits who were admitted primarily due to infections decreased to 6.20 days (95% CI: 5.59?6.81) compared to the historic cohort (7.57 days; 95% CI: 6.92?8.21; p = 0.012). Antimicrobial consumption decreased for these patients from 8.17 DDD/patient (95% CI: 7.10?9.24) to 5.93 DDD/patient (95% CI: 5.02?6.83; p = 0.008). For patients with severe underlying diseases (e.g., cancer) these outcome measures remained unchanged.Conclusion: The evaluation showed a considerable positive impact. Antibiotic use of the whole ward was reduced, transcending the intervened patients. Furthermore, LOS and mean antimicrobial consumption for a subgroup was reduced, thereby improving patient care and potentially lowering resistance rates. Twit Text FOAVip Automatic day-2 intervention by a multidisciplinary antimicrobial stewardship-team leads to multiple positive effects ????Front Microbiol http://www.kidney.de/pget.php?&tw=1&pmid=26089819 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26089819 #FOAvip English Wikipedia <ref>{{Cite pmid|26089819}}</ref> Automatic day-2 intervention by a multidisciplinary antimicrobial stewardship-team leads to multiple positive effects #MMPMID26089819 Dik JWH; Hendrix R; Lo-Ten-Foe JR; Wilting KR; Panday PN; van Gemert-Pijnen LE; Leliveld AM; van der Palen J; Friedrich AW; Sinha B Front Microbiol 2015[]; 6 (ä): ä PMID26089819show ga Background: Antimicrobial resistance rates are increasing. This is, among others, caused by incorrect or inappropriate use of antimicrobials. To target this, a multidisciplinary antimicrobial stewardship-team (A-Team) was implemented at the University Medical Center Groningen on a urology ward. Goal of this study is to evaluate the clinical effects of the case-audits done by this team, looking at length of stay (LOS) and antimicrobial use.Methods: Automatic e-mail alerts were sent after 48 h of consecutive antimicrobial use triggering the case-audits, consisting of an A-Team member visiting the ward, discussing the patient?s therapy with the bed-side physician and together deciding on further treatment based on available diagnostics and guidelines. Clinical effects of the audits were evaluated through an Interrupted Time Series analysis and a retrospective historic cohort.Results: A significant systemic reduction of antimicrobial consumption for all patients on the ward, both with and without case-audits was observed. Furthermore, LOS for patients with case-audits who were admitted primarily due to infections decreased to 6.20 days (95% CI: 5.59?6.81) compared to the historic cohort (7.57 days; 95% CI: 6.92?8.21; p = 0.012). Antimicrobial consumption decreased for these patients from 8.17 DDD/patient (95% CI: 7.10?9.24) to 5.93 DDD/patient (95% CI: 5.02?6.83; p = 0.008). For patients with severe underlying diseases (e.g., cancer) these outcome measures remained unchanged.Conclusion: The evaluation showed a considerable positive impact. Antibiotic use of the whole ward was reduced, transcending the intervened patients. Furthermore, LOS and mean antimicrobial consumption for a subgroup was reduced, thereby improving patient care and potentially lowering resistance rates. äAutomatic day-2 intervention by a multidisciplinary antimicrobial stew(epmc).pdf DeepDyve Pubget Overpricing