Antibiotic Stewardship in Infectious Disease Departement

Study Overview
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Brief Summary
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Consensual antibiotic protocols have been developed and validated locally by infectious disease specialists, internists and emergency physicians, in order to encourage their compliance. A preliminary study was conducted from June 2015 to February 2016, including 622 patients admitted to the emergency department for infectious syndrome such as / Pneumoniae Urinary tract infection Cellulitis Meningitis Malaria Febrile neutropenia Febrile acute diarrhea Fever back to the tropics Angina sexually transmitted infection This prospective study will observe and analyze the adherence of prescribers to these protocols. With description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols. In order to limit the length of stay and reduce the cost of hospitalization..

Detailed Description
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Consensual antibiotic protocols have been developed and validated locally by infectious disease specialists, internists and emergency physicians, in order to encourage their compliance. A preliminary study was conducted from June 2015 (setting up protocols) to February 2016, including 622 patients admitted to the emergency department for infectious syndrome such as / Pneumoniae Urinary tract infection Cellulitis Meningitis Malaria Febrile neutropenia Febrile acute diarrhea Fever back to the tropics Angina sexually transmitted infection This prospective study will observe and analyze the adherence of prescribers to these protocols. With description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols. In order to limit the length of stay and reduce the cost of hospitalization..

Official Title
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Adherence to Anti-infectious Treatment Protocols in Emergencies and Short-term Hospitalization at the Infectious Disease Department

Conditions
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Infectious Disease

Intervention / Treatment
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* Other: antibiotic protocol, according to a syndromic approach


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient admitted to emergency for infectious syndrome Patient > 18 years old. Patient who accept to have his medical records reviewed for research. Exclusion Criteria: Patient < 18 years old.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| experimental group<br>• Patient admitted to emergency for infectious syndrome Description of antibiotic protocol, according to a syndromic approach will be performed | Other: antibiotic protocol, according to a syndromic approach<br>* Description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| List of Antibiotic treatment | Description of the prescribed antibiotic treatment depending of infectious syndrome: name, duration for each treatment during hospitalization Data will be collected in the medical files: date of introduction of antibiotic treatment withdrawal dates stop dates antibiotic classes | up to 12 weeks | 
| Adverse events | Description of the cause of non adherence to antibiotic treatment initiates at hospital admission of antibiotherapy: Data will be collected in the medical files of patients: events leading to withdrawal or stop treatment (insufficiency renal, allergic reaction ... etc) date of events aggravation or recovery | up to 12 weeks |