Title

Local real-time antibiotogram

Description

A clinician is examining a new inpatient with fever, and other signs of infection localizing to a specific body system.  Cultures are drawn, but the clinician wants to initiate an empiric antibiotic regimen that is consistent with the patient’s age, allergies, and renal function as well as typical organisms associated with that system and antibiotic resistance patterns that are specific to that part of the hospital based on recent patterns.

Assumptions

Cohort Selection

Patients who are clinically and demographically similar to the current patient

Preconditions

Access to current patient characteristics and basic decision support to avoid presentation of regimens to which the patient is allergic, or at doses that are inconsistent with the patient’s age and renal function.  Decision support to suggest possible infectious etiologies given patient’s symptoms.  Access to comparable microbiology culture data on prior patients who had similar presentations

Post conditions

Dataset showing the final diagnoses of patients with similar clinical presentations as the current patient, the summarized results of prior patient culture, including organisms isolated and resistance patterns, the antibiotic regimens chosen for these other patients and the overall clinical course of these prior patients.  This data should be integrated with the current patients clinical status to avoid highlighting antibiotic regimens that would be inappropriate for the current patient based on allergies or renal function