Treatment of pneumonia: adherence to a hospital policy
- 1The Hospital Pharmacy, Vejle Hospital, Vejle, Denmark
- 2Department of Safe, Amgros I/S, Copenhagen Ø, Denmark
- Correspondence to Dr Lene Juel Kjeldsen, The Research Unit for Hospital Pharmacy, Amgros I/S, Dampfærgevej 22, Copenhagen Ø 2100, Denmark;
- Received 4 January 2012
- Revised 20 December 2012
- Accepted 3 January 2013
- Published Online First 29 January 2013
Objective To evaluate the adherence of an antibiotics algorithm for the treatment of pneumonia.
Methods A retrospective review of prescriptions was performed from January to April 2010 at three wards of a Danish hospital. Patients were included in the study if they were admitted with pneumonia or for observation for pneumonia. Intravenous benzylpenicillin was the first choice treatment for community acquired pneumonia, while the first choice for nosocomial pneumonia was intravenous ceforuxime. Switching from intravenous treatment to oral treatment was recommended. The algorithm also contained identification of first choice treatment for multiple infection foci.
Results Adherence to the algorithm was 91% regarding choice of antibiotics, 29% for switching from intravenous to oral treatment and 25% for additional infections other than pneumonia.
Conclusions Adherence to the algorithm was high, but there was still room for improvement with regard to switching from intravenous to oral treatment and treatment of infections with additional foci to pneumonia.