title: [Adherence with national guidelines in hospitalized patients with community-acquired pneumonia. Results of CAPO study in Argentina].
abstract: 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.
authors.affiliation: Hospital de la Universidad de Louisville, KY 40202, USA.
authors.forename: Diana
authors.initials: D
authors.lastname: Christensen
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Luna
authors.forename: Jorge
authors.initials: J
authors.lastname: Martínez
authors.forename: Eduardo
authors.initials: E
authors.lastname: Rodriguez
authors.forename: Lucia
authors.initials: L
authors.lastname: Marzoratti
authors.forename: Jose
authors.initials: J
authors.lastname: Gonzalez
authors.forename: Alejandro J
authors.initials: AJ
authors.lastname: Videla
authors.forename: Lautaro
authors.initials: L
authors.lastname: De Vedia
authors.forename: Jorge
authors.initials: J
authors.lastname: Corral
authors.forename: Guillermo
authors.initials: G
authors.lastname: Benchetrit
authors.forename: Maria
authors.initials: M
authors.lastname: Rodriguez
authors.forename: Carlos
authors.initials: C
authors.lastname: Victorio
authors.forename: Gustavo
authors.initials: G
authors.lastname: Lopardo
authors.forename: Paula
authors.initials: P
authors.lastname: Peyrani
authors.forename: Julio
authors.initials: J
authors.lastname: Ramirez
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents