Antibiotic timing and diagnostic uncertainty in medicare patients with pneumonia: Is it reasonable to expect all patients to receive antibiotics within 4 hours?

Chest

Volumn 130, Issue 1, 2006, Pages 16-21

  Metersky, Mark L ^a,e   Sweeney, Thomas A ^b   Getzow, Martin B ^c   Siddiqui, Farhan ^a   Nsa, Wato ^d   Bratzler, Dale W ^d  

^a UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE   (United States)

^b CHRISTIANA CARE HEALTH SYSTEM   (United States)

^c Family Care Medical Center   (United States)

^d Oklahoma Foundation for Medical Quality   (United States)

^e UNIVERSITY OF CONNECTICUT HEALTH CENTER   (United States)

Author keywords

Antibiotics; Health care; Pneumonia; Quality indicators

Indexed keywords

ANTIBIOTIC AGENT;

AGED; ANTIBIOTIC THERAPY; ARTICLE; CLINICAL FEATURE; DEMOGRAPHY; EARLY DIAGNOSIS; FEMALE; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; PNEUMONIA; PRIORITY JOURNAL; PULSE OXIMETRY; THERAPY DELAY;

EID: 33746379588     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.130.1.16     Document Type: Article

References (11)

1. Jencks SF, Cuerdon T, Burwen DR, et al. Quality of medical care delivered to Medicare beneficiaries: a profile at state and national levels. JAMA 2000; 284:1670-1676
2. Houck PM, Bratzler DW, Nsa W, et al. Timing of antibiotic administration and outcomes for Medicare patients hospitalized with community-acquired pneumonia. Arch Intern Med 2004; 164:637-644
3. Ziss DR, Stowers A, Feild C. Community-acquired pneumonia: compliance with Centers for Medicare and Medicaid Services, national guidelines, and factors associated with outcome. South Med J 2003; 96:949-959
4. Infectious Diseases Society of America. Misuse of pneumonia guidelines raises concerns. IDSA News 2006; 15:1-16
5. Houck PM, Bratzler DW. Administration of first hospital antibiotics for community-acquired pneumonia: does timeliness affect outcomes? Curr Opin Infect Dis 2005; 18:151-156
6. Walls RM, Resnick, JB. The CMS blood cultures for CAP program: the architects speak out. Available at: http://emergency-medicine.jwatch.org/cgi/ content/full/2005/427/1. Accessed January 9, 2006
7. Fein AM, Feinsilver SH, Niederman MS. Atypical manifestations of pneumonia in the elderly. Clin Chest Med 1991; 12:319-336
8. Marrie TJ. Community-acquired pneumonia in the elderly. Clin Infect Dis 2000; 31:1066-1078
9. Walls RM, Resnick JB. The Joint Commission on Accreditation of Healthcare Organizations and Centers for Medicare and Medicaid Services community-acquired pneumonia initiative: what went wrong? Ann Emerg Med 2005; 46:409-411
10. Metersky ML, Ma A, Bratzler DW, et al. Predicting bacteremia in patients with community-acquired pneumonia. Am J Respir Crit Care Med 2004; 169:342-347
11. Syrjala H, Broas M, Suramo I, et al. High-resolution computed tomography for the diagnosis of community-acquired pneumonia. Clin Infect Dis 1998; 27:358-363