Table 1 Clarification of the flowchart antibiotic prescriptions assessment*
From: A practice guide on antimicrobial stewardship in nursing homes
1 | Correct decision |
|---|---|
1a | No antibiotic(s); no infection; no antibiotic(s) indicated |
1b | No antibiotic(s); infection; no antibiotic(s) indicated |
1c | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; correct use |
2 | Incorrect decision |
2a | No antibiotic(s); infection; antibiotic(s) indicated |
2b | Antibiotic(s); no infection; no maintenance therapy indicated; no antibiotic(s) indicated |
2c | Antibiotic(s); infection; no antibiotic(s) indicated |
3 | Incorrect choice of antibiotic(s) |
3a | Antibiotic(s); infection; antibiotic(s) indicated; not in accordance with treatment protocol; deviation with good reason |
3b | Antibiotic(s); infection; antibiotic(s) indicated; not in accordance with treatment protocol; deviation without good reason |
4 | Incorrect use |
4a | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; wrong dose |
4b1 | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; wrong interval: incorrect daily frequency |
4b2 | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; wrong interval: incorrect times |
4c | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; wrong administration form (oral/intramuscular/intravenous) |
4d1 | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; wrong duration: duration too long |
4d2 | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; wrong duration: duration too short |
4d3 | Antibiotic(s); infection; antibiotic(s) indicated; in accordance with treatment protocol; wrong duration: no stop date |
5 | Insufficient information |
5a | No antibiotic(s); insufficient information about infection |
5b | Antibiotic(s); no infection; insufficient information about maintenance therapy |
5c | Antibiotic(s); insufficient information about infection |
5d | Antibiotic(s); infection; antibiotic(s) indicated; insufficient information about accuracy of use |