Pharmacist impact on time to antibiotic administration in patients with sepsis

0

Physical presence of a clinical pharmacist in the ED decreased time to administration and increased appropriateness of IV antibiotics for adult patients with sepsis, severe sepsis, or septic shock” Moussavi and Nikitenko (2016).

Abstract:

Purpose: To determine if the physical presence of a clinical pharmacist in the Emergency Department (ED) would decrease antibiotic order to administration time in adult patients with sepsis, severe sepsis, or septic shock.

Methods: We conducted a retrospective review of adult patients presenting to the ED between January to December 2014 with a diagnosis of sepsis, severe sepsis, or septic shock who required intravenous (IV) antibiotics.

Results: 186 patients (92 patients when an ED pharmacist was present and 94 when no ED pharmacist was present) were included in the analysis. Baseline characteristics were similar between groups. When a pharmacist was present, patients received antibiotics sooner (median 0.61 vs. 0.88 hours, P = .001), Surviving Sepsis Campaign goals for antibiotic administration time were more likely to be met (88% vs. 72%, P = .0097), and initial antibiotics were appropriate more often (97% vs. 81%, P = .0008). No significant differences were noted in intensive care unit length of stay (LOS), hospital LOS, ventilator days, or in-hospital mortality.

Conclusions: Physical presence of a clinical pharmacist in the ED decreased time to administration and increased appropriateness of IV antibiotics for adult patients with sepsis, severe sepsis, or septic shock.

Reference:

Moussavi, K. and Nikitenko, V. (2016) Pharmacist Impact on Time to Antibiotic Administration in Patients with Sepsis in an Emergency Department. The Journal of Emergency Medicine. July 19th. [epub ahead of print].

DOI: http://dx.doi.org/10.1016/j.ajem.2016.07.031

Thank you to our partners for supporting IVTEAM

Share.

Comments are closed.

Free Email Updates
Join 5.5K IVTEAM members. Subscribe now and be the first to receive all the latest free updates from IVTEAM!
100% Privacy. We don't spam.