Observational studyEuropean journal of pediatrics2025
Contribution of weekly ward rounds led by pediatric infectious diseases specialists in a pediatric intensive care unit.
Observational study in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Community or healthcare-associated infectious diseases are common in Pediatric Intensive Care Units (PICUs). The main objectives of this study were 1/to describe the clinical recommendations given during weekly round of infectious disease team into a PICU and 2/to assess its compliance.An observational prospective single-center study conducted over a one-year period in a PICU of a tertiary university hospital. All clinical recommendations provided by an infectious disease team during a weekly round were collected. We reported a total of 234 clinical recommendations on 148 patients (median age 34 months [IQR 2,5 months -126 months], 52% males). Infections occurred in patients with comorbidity in 73 (49%) of them. Ninety-three patients (40%) had pulmonary infections and patients presented with septic shock in 27 cases (12%). Clinical recommendations were categorized as diagnosis, therapeutic, preventive and monitoring in 98 (42%), 205 (88%), 41 (18%), 34 (15%) respectively. There were many therapeutic modifications after round, including treatment discontinuation (n = 82, 35%), spectrum modification (n = 54, 23%) and dosage adjustment (n = 15, 7%). The duration of treatment was also optimized in 144 situations (62%). Overall, we found a complete compliance with recommendations in most cases (n = 212, 90%).
conclusionWe found a very good compliance of clinical recommendations provided on a weekly basis by an infectious disease team in a PICU. Larger pediatric studies are warranted to assess a potential benefit on patients' outcome. WHAT IS KNOWN: • Antibiotic stewardship programs have been developed to optimize antimicrobial prescribing practices. WHAT IS NEW: • A prospective audit and feedback from a pediatric infectious disease team during once weekly rounds in PICU is associated with good adherence. • Recommendations did not focus only on therapeutic management but also on diagnosis, prevention and follow-up.
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