%0 Journal Article
%T Adherence to the practice guideline of community acquired pneumonia in the Hospital Universitario San Jorge, Pereira, Colombia
%A Jorge Enrique Machado-Alba
%A Berenice Isaza Martinez
%A Monica Sepulveda Mar¨ªn
%A Alejandro Rivera Palacios
%A Sandra Liceth Ceballos
%J Revista M¨¦dica de Risaralda
%D 2012
%I Universidad Tecnol¨®gica de Pereira
%X Objetive: To determine the variables associated with nonadherence to practice guideline of Community Acquired Pneumonia CAP in the Hospital Universitario San Jorge of Pereira (HUSJ). Methods: Cross-sectional study of all patients over 18 years of either sex with a diagnosis of NAC between January 1, 2010 and March 30, 2012. The information was taken from the medical records considering socio-demographic, clinical (diagnosis, symptoms, comorbidities), paraclinical (leukogram, X-ray, blood cultures) and therapeutic variables (time of hospitalization and medication costs). Adherence was determined according to the fulfillment of this guide.  2 tests and logistic regression were applied. Results: We found 297 cases of NAC, with slight male predominance (159 men vs 138 women) and mean age 56.3¡À22.4 years. Adherence to the practice guideline was 14.1% of cases. The antibiotics used were Ampicillin + Sulbactam in 180 patients (60.6% of cases), Ceftriaxone in 53 (17.8%) and Clarithromycin in 31 (10.4%). Blood cultures were 92 and 8.6% reported gram-positive cocci. The low cost of hospitalization (p=0,03, OR:2,07; 95%CI: 1,02-4,14) and chest X-ray report (p<0,001, OR:16,7; 95%CI:2,26-124,11)was statistically significantly associated with adherence to the guide. Non-adherence was associated with lack of guidance from physicians. Discussion: The HUSJ should update your practice guideline and socialize NAC care among physicians and follow up the implementation to reduce hospital stay, complications and costs.
%K pneumonia
%K practice guideline
%K Guideline Adherence
%K Anti-Infective Agents
%K Colombia
%U http://revistas.utp.edu.co/index.php/revistamedica/article/view/7887/4821