[Adherence with national guidelines in hospitalized patients with community-acquired pneumonia. Results of CAPO study in Argentina].
A committee of six scientific organizations from Argentina developed guidelines for the management of patients with community-acquired pneumonia (CAP).The objective of this study was to evaluate the level of adherence with the recommended care suggested by the guidelines in patients hospitalized with CAP in Argentina. Using quality indicators the management of 436 patients who were hospitalized in 12 Argentinean institutions was evaluated. The care given among the following areas was reviewed: need for hospitalization, need for oxygen therapy, empiric antibiotic therapy, switch therapy, hospital discharge, and prevention. The level of adherence was classified as optimal (>90%), intermediate (60% to 90%), and low (<60%).The selection of the empiric antibiotic therapy and the administration of antibiotics between the first 8 hours after arrival had an adherence greater to 80%. A low level of adherence was found in the areas of switch therapy (53%), prevention of CAP with pneumococcal vaccine (51%) and smoking cessation offered (29%). Using quality indicators it is possible to identify specific areas of management in patients with CAP to a low level of adherence with national guidelines. In Argentina interventions to improve switch therapy and prevention of CAP should be developed.
Christensen
Diana
D
Hospital de la Universidad de Louisville, KY 40202, USA.
Luna
Carlos M
CM
Martínez
Jorge
J
Rodriguez
Eduardo
E
Marzoratti
Lucia
L
Gonzalez
Jose
J
Videla
Alejandro J
AJ
De Vedia
Lautaro
L
Corral
Jorge
J
Benchetrit
Guillermo
G
Rodriguez
Maria
M
Victorio
Carlos
C
Lopardo
Gustavo
G
Peyrani
Paula
P
Ramirez
Julio
J
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001118:Argentina; D017714:Community-Acquired Infections / Q000517:prevention & control / Q000628:therapy; D019468:Disease Management; D005260:Female; D019983:Guideline Adherence / Q000592:standards* / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000188:drug therapy / Q000517:prevention & control / Q000628:therapy*; D017410:Practice Guidelines as Topic; D011786:Quality Control; D019984:Quality Indicators, Health Care; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents