[The computer-assisted management programs for antibiotic therapies in connection with an application in geriatrics].

Abstract

OBJECTIVES:

Improve antibiotic therapies in a geriatrics hospital by enhancing guidelines impact. Historical background. - Study of the uses of the data-processing tool: detection of adverse drug events and inappropriate therapies; diffusion of the probable bacteria and their sensitivities to antibiotics following the infected site; creating decisional algorithms leading to suggested antibiotic therapy concept.

METHOD:

Referring to the conferences of consensus: drafting of local protocols of antibiotic therapies by using data processing if possible. Description of computer-systems implemented in Salt Lake City (USA) and Tubingen (Germany). With the assistance of an expert infectiologist, design of a database containing clinical details of the different situations in the pulmonary and urinary infections: once the clinical data are entered, a suggested antibiotic therapy appears on the screen, followed by a suggested prescription adapted to patient's specifications. During five years, survey of Defined Daily Dose per 1000 occupied bed-days; survey of sensitivities to antibiotics of urinary tract bacteria.

RESULTS:

Decrease of overall antibiotic consumption; decrease of broad-spectrum agents; modifications of E. coli sensitivities lead to variations of suggested antibiotic therapy.

DISCUSSION:

Seizure of the clinical determinants imposes a reducing effect; but it is necessary to apply to antibiotic therapies a hierarchicalbasis on account of bacterial resistances process and on account of "tonnage" of antibiotic prescriptions.

CONCLUSION:

Computer-assisted decision in antibiotic therapy can draw prescribers' attention to guidelines. The adhesion of the physicians to the computerized decision-making system is consolidated by their direct participation in the design of this system.

• Authors: C Obez, A-M Barisic, W Chatelier, M-C Dellamonica, J Falcot, C Koubi, V Mondain, P Dellamonica
• Journal: Pathologie-biologie (Pathol Biol (Paris)) Vol. 52 Issue 10 Pg. 589-96 (Dec 2004) ISSN: 0369-8114 [Print] France
• Vernacular Title: Les systèmes informatiques d'aide à la décision en antibiothérapie à propos d'une application en gériatrie.
• PMID: 15596308 (Publication Type: Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Aged
• Anti-Bacterial Agents (therapeutic use)
• Drug Therapy, Computer-Assisted (methods)
• Geriatrics
• Humans
• Infections (drug therapy)
• Sensitivity and Specificity