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Table 1 Modifications of antibiotic regimens

From: Identifying targets for antibiotic stewardship interventions through analysis of the antibiotic prescribing process in hospitals - a multicentre observational cohort study

Process measures

Definition

Modification of therapy

 Escalation

Change from oral to intravenous (i.v.) antibiotic treatment within the same antibacterial spectrum, change to more broad-spectrum treatment, adding an antibiotic to a combination.

 De-escalation

Change from i.v. to oral antibiotic treatment within the same antibacterial spectrum or change to more narrow-spectrum treatment.

 Change same level

Change to a regimen within the same antibacterial spectrum and form of administration (i.v./oral).

 Unchanged

Regimens where first change of therapy was discontinuation of antibiotics, either during admission or after discharge.

Time to first modification of AB regimen

Time to first escalation/de-escalation/change within same antibacterial spectrum and dosage form (change of active substance(s), i.v. to oral switch, stopping or adding an antibiotic).

Number of treatment regimens

The number of treatment regimens from initiation of treatment until antibiotics prescribed at discharge

Day of oral antibiotics

The first day that one or more oral antibiotics were given.