prikaz prve stranice dokumenta Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor
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Scientific paper - Original scientific paper
Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor
Croatian Medical Journal, 64 (2023), 1; 45-51. https://doi.org/10.3325/cmj.2023.64.45
Kusulja, Marija; Žarković, Maša; Kudoić, Nikola; Mudrovčić, Monika; Sovina Stražičić, Natalija; Gornik, Ivan; Krajinović, Vladimir

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Kusulja, M., Žarković, M., Kudoić, N., Mudrovčić, M., Sovina Stražičić, N., Gornik, I. & Krajinović, V. (2023). Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor. Croatian Medical Journal, 64. (1), 45-51. doi: 10.3325/cmj.2023.64.45

Kusulja, Marija, et al. "Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor." Croatian Medical Journal, vol. 64, no. 1, 2023, pp. 45-51. https://doi.org/10.3325/cmj.2023.64.45

Kusulja, Marija, Maša Žarković, Nikola Kudoić, Monika Mudrovčić, Natalija Sovina Stražičić, Ivan Gornik and Vladimir Krajinović. "Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor." Croatian Medical Journal 64, no. 1 (2023): 45-51. https://doi.org/10.3325/cmj.2023.64.45

Kusulja, M., et al. (2023) 'Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor', Croatian Medical Journal, 64(1), pp. 45-51. doi: 10.3325/cmj.2023.64.45

Kusulja M, Žarković M, Kudoić N, Mudrovčić M, Sovina Stražičić N, Gornik I, and sur.. Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor. Croatian Medical Journal [Internet]. 2023 February 28 [cited 2024 May 01];64(1):45-51. doi: 10.3325/cmj.2023.64.45

M. Kusulja, et al., "Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor", Croatian Medical Journal, vol. 64, no. 1, pp. 45-51, February 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:673975. [Accessed: 01 May 2024]

Metadata
Title (english)Outpatient treatment of pneumonia in a setting with and without an infectious disease doctor
AuthorMarija Kusulja
AuthorMaša Žarković
AuthorNikola Kudoić
AuthorMonika Mudrovčić
AuthorNatalija Sovina Stražičić
AuthorIvan Gornik
AuthorVladimir Krajinović
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
Aim: To compare the outpatient treatment of community acquired pneumonia (CAP) by infectious disease doctors (IDDs) and doctors of other specialties (nIDDs). Methods: We retrospectively identified 600 outpatients with CAP: 300 treated by IDDs and 300 by nIDDs in two tertiary hospitals during 2019. The two groups were compared in terms of adherence to guidelines, antibiotic group prescription, frequency of combined treatment, and treatment duration. Results: IDDs prescribed significantly more first-line treatment (P<0.001) and alternative treatment (P=0.008). NIDDs prescribed more reasonable (P<0.001) and unnecessary (P=0.002) second-line treatment, and inadequate treatment (P=0.004). IDDs significantly more frequently prescribed amoxicillin (P<0.001) for typical and doxycycline (P=0.045) for atypical CAP, while nIDDs significantly more frequently prescribed amoxicillin-clavulanate (P<0.001) for typical and fluoroquinolones for both typical (P<0.001) and atypical (P<0.001) CAP. No significant differences were found in the frequency of combined treatment, which exceeded 50% in both groups, or in treatment duration. Conclusions: Outpatient treatment of CAP in the absence of IDDs meant more broad-spectrum antibiotic prescription and more disregard for national guidelines. Our results highlight the need for antibiotic stewardship, especially in settings with no IDDs.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 64, no. 1, pp. 45-51
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2023.64.45
URN:NBNurn:nbn:hr:105:673975
Publication2023-02-28
Document URLhttp://www.cmj.hr/2023/64/1/36864818.htm
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2023-03-21 12:19:55