Hi all, In the specification manual for nation hospital inpatient quality measures discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)
"metronidazole is not represented on any table because it is not approved for monotherapy and if given, must be given with 2 other combination antibiotic therapy" Just wondering why ceftriaxone or cefepime or + metronidazole will not surfice for treatment of intra abdominal infection? What about patients with anaphylactic reaction to penicillin? I would recommend Aztreonam + metronidazole or quinolone +metronidazole for intra-abdominal source. I don't understand why metronidazole has to be combine with 2 other combination antibiotics. Please comment. Thank you Maria Osundele,Pharm D.CGP,BCPS Clinical Pharmacy Coordinator Orange Regional Medical Center T:845-333-2036 C:845-649-1973 F:845-333-2029 [email protected] ORMC PHARMACY: 'We chart the course to optimal pharmaceutical care for the safety and welfare of our patients' [cid:[email protected]] Encouraging Appropriate Antimicrobial Use From: Sepsisgroups [mailto:[email protected]] On Behalf Of Kathleen Biederman Sent: Tuesday, November 04, 2014 4:04 PM To: '[email protected]' Subject: [Sepsis Groups] blood culture while on IV antibiotics Dear SSC, What is the SSC guideline for whether to draw a blood culture on an inpatient who develops severe sepsis during the admission who has already been receiving broadspectrum IV antibiotic? This question is for both a first time BC and for a patient who had a BC done previously. It is my understanding that when a patient develops new severe sepsis we are to follow the complete 3hour bundle regardless of whether he or she is already on IV antibiotics or whether a BC has been done already. The repeat BC question came up during our case review today. I see in a brief online lit review, ...BC repeats account for one-third of all BCs handled in the laboratory, with little additional yield. Guidelines for repeating BCs may decrease unnecessary testing." Clin Microbiol Infect 2004; 10: 624-627. Are repeat blood cultures that are performed outside of the 3 hour bundle time not considered a fallout? Thank you in advance for your guidance and any recommended references. Regards, Kathleen Biederman, RN, MS Patient Quality & Safety Specialist ________________________________ The materials in this e-mail are private and may contain Protected Health Information. Please be advised that any unauthorized use, disclosure, copying, or distribution of this information is strictly prohibited. The contents are protected under Section 2805 of the Public Health Law and is not a substitute for other documents. Please refer to ORMC HIPAA Policies for further information. If you have received this email in error, please immediately notify the sender via return e-mail.
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