Early switch from intravenous to oral antibiotics and early hospital discharge -: A prospective observational study of 200 consecutive patients with community-acquired pneumonia
Early switch from intravenous to oral antibiotics and early hospital discharge -: A prospective observational study of 200 consecutive patients with community-acquired pneumonia
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DOI：
10.1001/archinte.159.20.2449
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发表时间：
1999-11-08
影响因子：
--
通讯作者：
Huang, A
中科院分区：
文献类型：
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作者：
Ramirez, JA;Vargas, S;Huang, A
目的：为了确定可以通过早期转换为口服抗生素治疗和早期出院的患者比例，评估早期转换和早期出院患者的临床结局和患者满意度，并确定一些早期转换为口服抗生素治疗的患者早期出院的干扰因素。设计：前瞻性研究。参与者：200例连续住院的社区获得性肺炎患者。主要结果测量：转为口服治疗所需的天数和住院时间。临床结果和满意度进行了评估，这些患者治疗与早期开关和早期discharge.Results：早期开关口服抗生素（在住院的前3天内）进行了133例（67%）。1例患者记录了临床失败。88例患者（44%）进行了早期转换和早期出院。该组的平均住院时间为3.4天。改用口服抗生素后延长住院时间的最常见原因是需要进行诊断性检查。超过95%的患者满意的护理，他们收到了。结论：使用简单的临床和实验室标准，一个显着比例的社区获得性肺炎住院患者（44%）可以治疗与早期开关和早期出院。这种模式不影响患者的结果，减少住院时间，并与高水平的患者满意度。
Objectives: To determine the proportion of patients who can be treated with early switch to oral antibiotics and early discharge, to evaluate clinical outcome and patient satisfaction for patients treated with early switch and early discharge, and to define the factors that interfere with early discharge for some of the patients who underwent early switch to oral antibiotic therapy.Design: Prospective study.Participants: Two hundred consecutive hospitalized patients with community-acquired pneumonia.Main Outcome Measures: Number of days needed to switch to oral therapy and length of hospital stay. Clinical outcome and satisfaction with care were evaluated for those patients treated with early switch and early discharge.Results: Early switch to oral antibiotics (within the first 3 days of hospitalization) was performed in 133 patients (67%). Clinical failure was documented in 1 patient. Early switch and early discharge was performed in 88 patients (44%). The mean length of hospital stay for this group was 3.4 days. The most common reason for prolonged hospitalization after the switch to oral antibiotics was the need for diagnostic workup. More than 95% of patients were satisfied with the care they had received.Conclusions: Using simple clinical and laboratory criteria, a significant proportion of hospitalized patients with community-acquired pneumonia (44%) can be treated with early switch and early discharge. This model did not affect patient outcome, decreased the length of hospitalization, and was associated with a high level of patient satisfaction.