测量吸入性肺炎的发病率，以提高抗生素处方的相关性：回顾性观察研究

IF 2.9 4区医学 Q2 INFECTIOUS DISEASES

Infectious diseases now Pub Date : 2024-03-12 DOI:10.1016/j.idnow.2024.104885

Rodrigue Wankap , Lyasmine Azzoug , Florent Rossi , Adrien Chan Sui Ko , Jean-Philippe Lanoix

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引用次数: 0

摘要

吸入性肺炎（AP）的发病率很高，对死亡率的影响也很大。然而，有关临床诊断标准的数据却很少。我们旨在根据预定义标准评估真正吸入性肺炎的发病率及其对抗生素管理的影响。对2018年亚眠大学医院住院的主要诊断为AP的患者进行回顾性研究。我们首先确定了肺炎和吸入的确诊标准。然后根据确定程度对 AP 进行分类。在862例AP病例中，其诊断为肯定、可能、可能过量、肯定过量或不存在的比例分别为2%（n = 17）、3%（n = 26）、50.5%（n = 433）、23.1%（n = 198）和21.4%（n = 183）。与阿莫西林-克拉维酸和甲硝唑使用无关的病例分别占 27% 和 13%。AP 的诊断经常过度，迫切需要诊断工具来改善抗生素管理。

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Measuring the prevalence of aspiration pneumonia in view of improving the relevance of antibiotic prescription of antibiotics: A retrospective, observational study

Purpose

Aspiration pneumonia (AP) has significant incidence and impact on mortality. However, data about clinical diagnosis criteria are scarce. We aimed to evaluate according to predefined criteria the prevalence of true AP and its impact on antibiotic stewardship.

Methods

Retrospective study of patients whose main diagnosis was AP hospitalized at Amiens University Hospital in 2018. We first defined diagnostic criteria of certainty for pneumonia and aspiration. AP was then classified according to degree of certainty.

Results

Among 862 cases of AP, its diagnosis was certain, likely, probably in excess, certainly in excess or absent in 2 % (n = 17), 3 % (n = 26), 50.5 % (n = 433), 23.1 % (n = 198) and 21.4 % (n = 183) respectively. Irrelevant use of amoxicillin-clavulanic acid and metronidazole was found in 27 % and 13 % of cases, respectively.