Abstract:
Background:To determine the effectiveness of implementing a locally developed clinical practice guideline (CPG) for antibiotic treatment in adults with community-acquired cellulitis at Siriraj Hospital in Bangkok, Thailand. Methods:The CPG for antibiotic treatment of community-acquired cellulitis was developed based on local data during June to December 2016. The CPG was introduced by multifaceted interventions, including posters, brochures, circular letters, social media, conference, classroom training, and interactive education during January to September 2018. Results:Among 360 patients with community-acquired cellulitis, 84.4% were ambulatory and 15.6% were hospitalized. The median age of patients was 62 years, and 59.4% were female. Antibiotic prescription according to CPG (CPG-compliant group) was observed in 251 patients (69.7%), and CPG noncompliance was found in 109 patients (30.3%) (CPG-noncompliant group). The demographics and characteristics of patients were comparable between groups. Patients in the CPG-compliant group had a significantly lower rate of intravenous antibiotics (18.7% vs 33.9%, P = .007), lower prescription rate of broad-spectrum antibiotics (14.7% vs 78.9%, P < .001) and antibiotic combination (6.4% vs 13.8%, P = .022), shorter median duration of antibiotic treatment (7 vs 10 days, P < .001), lower median cost of antibiotic treatment (US $3 vs $7, P < .001), and lower median hospitalization cost (US $601 vs $1587, P = .008) than those in the CPG-noncompliant group. Treatment outcomes were not significantly different between groups. Conclusions:Adherence to CPG seems to reduce inappropriate prescription of broad-spectrum antibiotic or antibiotic combination and treatment costs in adults with community-acquired cellulitis without differences in favorable outcomes or adverse events.
journal_name
Open Forum Infect Disjournal_title
Open forum infectious diseasesauthors
Sirijatuphat R,Nookeu P,Thamlikitkul Vdoi
10.1093/ofid/ofaa411subject
Has Abstractpub_date
2020-09-07 00:00:00pages
ofaa411issue
10issn
2328-8957pii
ofaa411journal_volume
7pub_type
杂志文章abstract:Background:Health departments utilize HIV surveillance data to identify people with HIV (PWH) who need re-linkage to HIV care as part of an approach known as Data to Care (D2C.) The most accurate, effective, and efficient method of identifying PWH for re-linkage is unknown. Methods:We evaluated referral and care conti...
journal_title:Open forum infectious diseases
pub_type: 杂志文章
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更新日期:2020-08-21 00:00:00
abstract::Human immunodeficiency virus-infected women with central adiposity switched to raltegravir-based antiretroviral therapy immediately or after 24 weeks. No statistically significant changes in computed tomography-quantified visceral adipose tissue (VAT) or subcutaneous fat were observed, although 48 weeks of raltegravir...
journal_title:Open forum infectious diseases
pub_type: 杂志文章
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更新日期:2015-04-26 00:00:00
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journal_title:Open forum infectious diseases
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journal_title:Open forum infectious diseases
pub_type: 杂志文章,评审
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更新日期:2017-07-20 00:00:00
abstract::We used ribonucleic acid sequencing to profile Candida albicans transcription within biliary fluid from a patient with cholangitis; samples were collected before and after treatment with fluconazole and drainage. Candida albicans transcriptomes at the infection site distinguished treated from untreated cholangitis. Af...
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pub_type: 杂志文章
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abstract::During the current Zika virus (ZIKV) outbreak, acute symptomatic ZIKV infection in adults appears to be a mild-to-moderate, self-limited illness. We present a case of ZIKV rash illness that improved and then relapsed without repeat exposure to ZIKV. Clinicians should be alert for relapses in patients with ZIKV infecti...
journal_title:Open forum infectious diseases
pub_type: 杂志文章
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pub_type: 杂志文章
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doi:10.1093/ofid/ofaa615
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofz195
更新日期:2019-04-23 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofu070
更新日期:2014-08-25 00:00:00
abstract:Background:Chagas disease, caused by the parasite Trypanosoma cruzi, once considered a disease confined to Mexico, Central America, and South America, is now an emerging global public health problem. An estimated 300 000 immigrants in the United States are chronically infected with T. cruzi. However, awareness of Chaga...
journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofaa156
更新日期:2020-05-06 00:00:00
abstract::During 12 recent months of periodic influenza virus surveillance at 9 live poultry markets in Wuxi City China, we identified multiple highly pathogenic H5N6, H5N8, H5N2, and H5N1 avian influenza viruses. The variety of potentially pandemic viruses in this low-risk area is disconcerting and portends an increased pandem...
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pub_type: 杂志文章
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更新日期:2016-03-09 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofz294
更新日期:2019-06-26 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofaa062
更新日期:2020-02-18 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofv081
更新日期:2015-06-12 00:00:00
abstract::A patient with multiple sclerosis presented with seronegative C. burnetii endocarditis diagnosed using C. burnetii-specific polymerase chain reaction and fluorescence in situ hybridization on cardiovascular biopsy. This case supports the necessity of a systematic polymerase chain reaction testing of removed cardiac va...
journal_title:Open forum infectious diseases
pub_type: 杂志文章
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更新日期:2019-10-04 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofx020
更新日期:2017-02-08 00:00:00
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journal_title:Open forum infectious diseases
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更新日期:2020-09-24 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
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更新日期:2019-01-18 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofv040
更新日期:2015-05-05 00:00:00
abstract::Background. Sepsis is a major cause of morbidity and mortality among older adults. The main goals of this study were to assess the association of sepsis at intensive care unit (ICU) admission with mortality and to identify predictors associated with increased mortality in older adults. Methods. We conducted a prospe...
journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofw010
更新日期:2016-01-21 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofz101
更新日期:2019-02-26 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
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更新日期:2018-06-16 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
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更新日期:2016-10-03 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
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更新日期:2018-05-03 00:00:00
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journal_title:Open forum infectious diseases
pub_type: 杂志文章
doi:10.1093/ofid/ofx154
更新日期:2017-07-22 00:00:00