Decision-making regarding antibiotic therapy duration: An observational study of multidisciplinary meetings in the intensive care unit
Authors' conclusion
Multidisciplinary decision-making regarding the duration of antibiotic therapy is a complex but valuable process, involving different healthcare professionals, using a variety of argument-types to determine the duration of antibiotic therapy.
Study context
- Population
- Multidisciplinary meetings discussing antibiotic therapy duration in four Dutch ICUsdiscussions in 60 meetings
- Participants
- 121 participants
- Outcome
- Decisions and arguments in discussions on antibiotic therapy duration
Methodological detailsdirect observation, multicentre, Observation guide, audio recordings and detailed field notes
- Direct observation
- Multicentre
- Observation guide, audio recordings and detailed field notes
Main finding
As reported in the abstract
- Decision to stop antibiotics immediately
- 24.8%
- Prospective stop date determined
- 37.2%
- Arguments most often brought forward by intensivists
- 35.5%
- Arguments most often brought forward by clinical microbiologists
- 22.3%
- Multiple healthcare professionals participated equally in the decision
- 28.9%
- Main argument categories identified
- 13
Observational data: associations, not effects.
Original publication
Decision-making regarding antibiotic therapy duration: An observational study of multidisciplinary meetings in the intensive care unit. J Crit Care. Published 30 June 2023. doi:10. 1016/ j. jcrc. 2023. 154363
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