Journal Club - Recent Additions

September - 2013

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Showing Journal 10 of 12


Impact of Regular Collaboration Between Infectious Diseases and Critical Care Practitioners on Antimicrobial Utilization and Patient Outcome

Ramzy H Rimawi, Mark A Mazer, Dawd S Siraj, Mike Gooch, and Paul P Cook Crit Care Med, 2013, 41(9);2099-2107

Comment

This single centre MICU study looks at the effect of regular collaboration between infectious disease fellow and critical care practitioners on antimicrobial use and patient outcomes.

They compared 2 x 3-month periods (before and after), and found;

- Similar baseline...


September



Previous Comments

The findings certainly sound a bit stretched.The open system of ICU in US is a different world all together. My experience with septic patients here in Australia, is that the mortality is far lower than what is usually reported in US studies. My opinion is that ID consult should be ICU team initiated in selected cases rather than blanket consult. Often empirical antibiotic selection involves careful weighing of risks and benefits in a critically ill patient which i have personally found difficult to communicate to ID team. Besides its not difficult to imagine the delay in commencement of antibiotics.
shiv-12 Sep, 2013 07:29:14 AM