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Effects of a clinical pathway on antibiotic use in patients with community-acquired pneumonia: a multi-site study in China

Overview of attention for article published in BMC Infectious Diseases, September 2018
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Title
Effects of a clinical pathway on antibiotic use in patients with community-acquired pneumonia: a multi-site study in China
Published in
BMC Infectious Diseases, September 2018
DOI 10.1186/s12879-018-3369-1
Pubmed ID
Authors

Liping Zhu, Jie Bai, Yongcong Chen, Di Xue

Abstract

Community-acquired pneumonia (CAP) is a common condition with high mortality, morbidity and healthcare costs. This study aimed to determine whether clinical pathway (CP) implementation in different hospitals in China increased antibiotic compliance with the national CP in inpatients with CAP. Chart reviews of CAP cases were conducted in 18 public hospitals from 3 different regions of China in 2015. Chi-square tests and the t-test were used to compare differences between hospitals that implemented CP (CP group) and those that did not (non-CP group). Multivariate logistic analysis was adopted to test whether CP implementation for CAP in hospitals affected their overall antibiotic use compliance rates with the national CP for CAP. The overall compliance rate with the national CP for inpatients with CAP was 43.69%. The compliance rates for timely initial antibiotic use, recommended antibiotic use and use of the recommended combination of antibiotics and the overall compliance rate were substantially higher in the CP group than in the non-CP group. A multivariate logistic model for overall compliance in inpatients with CAP showed that the hospitals in the CP group had greater overall compliance than those in the non-CP group (odds ratio [OR] = 1.76; 95% confidence interval [CI] = 1.16-2.71) after controlling for hospital and inpatient characteristics. In China, the overall compliance rate with the national CP for inpatients with CAP was low, but inpatients with CAP in the hospitals in the CP group received antibiotics more concordantly with the national CP. Since adherence to evidence-based care has been shown to improve clinical outcomes, internal and external support from hospitals is required to facilitate CP implementation for inpatients with CAP. Additionally, governmental commitment, hospital input and population involvement are required to improve antibiotic utilization.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 47 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 47 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 19%
Student > Postgraduate 6 13%
Student > Ph. D. Student 5 11%
Student > Bachelor 4 9%
Researcher 4 9%
Other 7 15%
Unknown 12 26%
Readers by discipline Count As %
Medicine and Dentistry 10 21%
Nursing and Health Professions 9 19%
Pharmacology, Toxicology and Pharmaceutical Science 4 9%
Psychology 2 4%
Agricultural and Biological Sciences 1 2%
Other 8 17%
Unknown 13 28%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 September 2018.
All research outputs
#12,015,041
of 13,549,479 outputs
Outputs from BMC Infectious Diseases
#4,302
of 5,053 outputs
Outputs of similar age
#228,456
of 264,979 outputs
Outputs of similar age from BMC Infectious Diseases
#1
of 1 outputs
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