Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: Results of a consensus conference
Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: Results of a consensus conference
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DOI：
10.1086/501875
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发表时间：
2001-02-01
影响因子：
4.5
通讯作者：
Strausbaugh, L
中科院分区：
文献类型：
--
作者：
Loeb, M;Bentley, DW;Strausbaugh, L
对长期护理机构 (LTCF) 居民的感染进行临床诊断非常困难。因此，决定何时开始使用抗生素可能特别具有挑战性。本文介绍了 LTCF 居民开始使用抗生素的最低标准的建立。邀请该领域的专家参加共识会议。使用修改后的德尔菲法，向参与者发送了一份调查问卷和选定的相关文章，要求参与者根据其相对重要性对个体体征和症状进行排名。根据参与者的加权结果，对名义小组流程进行了修改，以达成共识。制定了针对皮肤和软组织感染、呼吸道感染、泌尿道感染和感染病灶未知的发烧启动抗生素治疗的标准。
Establishing a clinical diagnosis of infection in residents of long-term-care facilities (LTCFs) is difficult. As a result, deciding when to initiate antibiotics can be particularly challenging. This article describes the establishment of minimum criteria for the initiation of antibiotics in residents of LTCFs. Experts in this area were invited to participate in a consensus conference. Using a modified delphi approach, a questionnaire and selected relevant articles were sent to participants who were asked to rank individual signs and symptoms with respect to their relative importance. Using the results of the weighting by participants, a modification of the nominal group process was used to achieve consensus. Criteria for initiating antibiotics for skin and soft-tissue infections, respiratory infections, urinary infections, and fever where the focus of infection is unknown were developed.