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

Hakan Erdem; Sally Hargreaves; Handan Ankarali; Hulya Caskurlu; Sevil Alkan Ceviker; Asiye Bahar-Kacmaz; Meliha Meric-Koc; Mustafa Altindis; Yasemin Yildiz-Kirazaldi; Filiz Kizilates; Jameela Alsalman; Yasemin Cag; Abu Hena Mostafa Kamal; Ilyas Dokmetas; Emine Kubra Dindar-Demiray; Ghaydaa Ahmed Shehata; Hakan Hasman; Ainur Sadykova; Ferran Llopis; Ergys Ramosaco; Mateja Logar; Handan Alay; Fatma Kesmez-Can; Yvon Ruch; Dilek Bulut; Mateja Jankovic Makek; Andrea Marino; Amjad Mahboob; Amani El-Kholy; Dirar Abdallah; Merve Sefa-Sayar; Ridvan Karaali; Selda Aslan; Razi Even Dar; Esam Abdalla; Helena Monzon-Camps; Rusmir Baljic; Dumitru Irina Mgdalena; Behrouz Naghili; Mohamed Elhassan Abbas Dafalla; Ameen S. S. Alwashmi; Cernat Roxana Carmen; Sergio Ramirez-Estrada; Marzena Wojewodzka-Zelezniakowicz; Ozay Akyildiz; Joanna Zajkowska; Rehab El-Sokkary; Nirav Pandya; Fatma Amer; Ilad Alavi-Darazam; Svjetlana Grgic; Ahmed Ashraf Wegdan; Jehan El-Kholy; Cansu Bulut-Avsar; Sholpan Kulzhanova; Meltem Tasbakan; Hema Prakash Kumari; Natalia Dirani; Kalyan Koganti; Aidos K. Konkayev; Michael M. Petrov; Antonio Cascio; Anna Liskova; Rosa Fontana Del Vecchio; Lorenza Lambertenghi; Nikolay Mladenov; Serkan Oncu; Jordi Rello

doi:10.1080/1120009X.2020.1863696

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

Journal article

Peer reviewed

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

Hakan Erdem, Sally Hargreaves, Handan Ankarali, Hulya Caskurlu, Sevil Alkan Ceviker, Asiye Bahar-Kacmaz, Meliha Meric-Koc, Mustafa Altindis, Yasemin Yildiz-Kirazaldi, Filiz Kizilates, …

Journal of chemotherapy (Florence), Vol.33(5), pp.302-318

07/09/2021

DOI: https://doi.org/10.1080/1120009X.2020.1863696

PMID: 33734040

Abstract

Infectious Diseases

Life Sciences & Biomedicine

Oncology

Pathology

Pharmacology & Pharmacy

Science & Technology

We 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.

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Title: Managing adult patients with infectious diseases in emergency departments: international ID-IRI study
Creators - without role: Hakan Erdem - Ankara
Sally Hargreaves - St George's, University of London
Handan Ankarali - Istanbul Medeniyet University
Hulya Caskurlu - Istanbul Medeniyet University
Sevil Alkan Ceviker - Izmir Kâtip Çelebi University
Asiye Bahar-Kacmaz - Bezmiâlem Vakıf Üniversitesi
Meliha Meric-Koc - Ankara
Mustafa Altindis - Sakarya University
Yasemin Yildiz-Kirazaldi - Sakarya Eğitim ve Araştırma Hastanesi
Filiz Kizilates - Department of Infectious Diseases and Clinical Microbiology, Antalya Training and Research Hospital, Health Sciences University, Antalya, Turkey
Jameela Alsalman - Salmaniya Medical Complex
Yasemin Cag - St George's, University of London
Abu Hena Mostafa Kamal - Rajshahi Medical College
Ilyas Dokmetas - Şişli Etfal Eğitim ve Araştırma Hastanesi
Emine Kubra Dindar-Demiray - Bitlis Eren University
Ghaydaa Ahmed Shehata - Assiut University
Hakan Hasman - Memorial Ankara Hospital
Ainur Sadykova - Kazakh National Medical University
Ferran Llopis - Bellvitge University Hospital
Ergys Ramosaco - Mother Teresa Hospital
Mateja Logar - Ljubljana University Medical Centre
Handan Alay - Atatürk University
Fatma Kesmez-Can - Atatürk University
Yvon Ruch - University of Strasbourg
Dilek Bulut - Ministry of Health
Mateja Jankovic Makek - University Hospital Centre Zagreb
Andrea Marino - Ospedale Garibaldi
Amjad Mahboob - College Station Medical Center
Amani El-Kholy - Cairo University
Dirar Abdallah - Dubai Hospital
Merve Sefa-Sayar - Ministry of Health
Ridvan Karaali - Istanbul University
Selda Aslan - Gaziantep Children's Hospital
Razi Even Dar - Rambam Health Care Campus
Esam Abdalla - Assiut University
Helena Monzon-Camps - Mútua Terrassa
Rusmir Baljic - Clinic for Infectious Diseases, Sarajevo, Bosnia and Herzegovina
Dumitru Irina Mgdalena - Ovidius University
Behrouz Naghili - Imam Reza Hospital
Mohamed Elhassan Abbas Dafalla - College Station Medical Center
Ameen S. S. Alwashmi - Qassim University
Cernat Roxana Carmen - Ovidius University
Sergio Ramirez-Estrada - Intens
Marzena Wojewodzka-Zelezniakowicz - University Clinical Hospital In Bialystok
Ozay Akyildiz - Acıbadem Adana Hospital
Joanna Zajkowska - University Clinical Hospital In Bialystok
Rehab El-Sokkary - Zagazig University
Nirav Pandya - Bhailal Amin General Hospital, Vadodara, India
Fatma Amer - Zagazig University
Ilad Alavi-Darazam - Shahid Beheshti University
Svjetlana Grgic - Univ Hosp Mostar, Clin Infect Dis, Mostar, Bosnia & Herceg
Ahmed Ashraf Wegdan - Fayoum University
Jehan El-Kholy - Cairo University
Cansu Bulut-Avsar - Ege University
Sholpan Kulzhanova - Astana Medical University
Meltem Tasbakan - Ege University
Hema Prakash Kumari - GITAM University
Natalia Dirani - Dar Al Amal University Hospital, Douris, Lebanon
Kalyan Koganti - Shridhar University
Aidos K. Konkayev - Astana Medical University
Michael M. Petrov - College Station Medical Center
Antonio Cascio - University of Palermo
Anna Liskova - University Hospital Ostrava
Rosa Fontana Del Vecchio - Ospedali Riuniti Umberto I
Lorenza Lambertenghi - University of Verona
Nikolay Mladenov - University Hospital St. Marina
Serkan Oncu - Adnan Menderes University
Jordi Rello - Vall d'Hebron Hospital Universitari
Publication Details: Journal of chemotherapy (Florence), Vol.33(5), pp.302-318
Publisher: Taylor & Francis
Number of pages: 17
Identifiers: 9928596208331
Academic Unit: Qassim University
Language: English
Resource Type: Journal article