Yvonne Commodore-Mensah, Oluwabunmi Ogungbe, Eric Broni, Camillus Ezeike, Ruth-Alma Turkson-Ocran, Jennifer Wenzel, Lisa A Cooper
African Immigrants' perceptions and attitudes toward cardiovascular health
Journal of advanced nursing
communityacquired pneumonia cap frequent infection diagnosis hospitals antimicrobial therapy cap depicted clinical practice guidelines adherence data effect antibiotic stewardship measures lacking dedicated antibiotic team pointed cap potential target antimicrobial stewardship ams measures 1000bed tertiary care teaching university hospital norway march may years 2016 throughout 2021 aim ams program increase diagnostic antimicrobial therapy adherence national clinical practice guideline recommendations multiple continuous ams efforts descriptive statistics retrospectively used delineate antimicrobial therapy cap primary outcomes proportions received narrowspectrum betalactams broadspectrum antimicrobial therapy 1112 cap episodes identified annual proportion received narrowspectrum betalactams increased 561 744 p 0045 correspondingly annual proportion received broadspectrum antimicrobial therapy decreased 341 171 p 0002 trends affected coronavirus pandemic mortality 30day readmission rates remained unchanged deescalation strategies frequently unutilized overall therapy duration exceeded clinical practice guideline recommendations substantially microbiologically confirmed cap episodes increased 337 562 study period cap suitable model condition sensitive ams measures continuous focus improved microbiological diagnostics antimicrobial therapy initiation efficient increasing adherence guideline recommendations unmet need better antimicrobial deescalation strategies