[Diagnostic accuracy in bacterial infections in an emergency ward: results of a retrospective study].
Accuracy of the initial diagnosis and the appropriate choice of antibiotics were evaluated in a group of patients with presumed bacterial infections admitted to the medical ward after initial examination at the emergency ward. A bacterial infection was initially suspected and treated with antibiotics in 88 (33%) of 265 patients admitted consecutively. An inaccurate diagnosis of bacterial infection was made in 2.6% of all patients and in 8% of the patients treated with antibiotics. In one patient (0.4%) the presence of a bacterial infection was overlooked. Penicillins, co-trimoxazole, erythromycin and aminoglycosides represented 93% of the antibiotics chosen. 28% of all empiric antibiotic regimens had to be modified due to the result of sensitivity testing, side effects or clinical failure.
Departement für Innere Medizin, Kantonsspital Basel.
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U
Buser
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Engelstein
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D003951:Diagnostic Errors; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged
D000900:Anti-Bacterial Agents
Treffsicherheit der Diagnose bakterieller Infektionen auf einer Notfallstation: Ergebnisse einer retrospektiven Studie.