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OBJECTIVE To investigate variations in antibiotic coverage and detection of resistant pathogens in community-onset pneumonia, we're looking at. SETTING The establishment of a total of 128 hospitals in the Veterans Affairs health system is the result of a total of 128 hospitals. METHODS We investigated the prevalence of hospitalizations with empiric antibiotic coverage for methicillin-resistant Staphylococcus aureus and Pseudomona aeruginosa, as well as in blood or respiratory cultures for the first time. Whereas coverage was greatest among patients with recent hospitalizations and long-term care, the most notable was in patients with a positive culture and in hospitals with a high prevalence of the disease in pneumonia. Both coverage and detection of MRSA and PAER showed wide variation in both coverage and detection of MRSA and PAER, but the likelihood of detection varied little with the likelihood of detection. Providing microbiology data during empiric antibiotic decision making could help reduce outbreaks of pathogenic pathogens and may encourage more judicious use of broad-spectrum antibiotics. Epidemiol 2017;38:937-944; Infect Control Hosp Epidemiol 2017;38:937-944.
Source link: https://doi.org/10.1017/ice.2017.98
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