Impact of the Step-by-Step on febrile infants.
Arch Dis Child
; 106(11): 1047-1049, 2021 11.
Article
en En
| MEDLINE
| ID: mdl-34407957
ABSTRACT
OBJECTIVE:
To evaluate the impact of introducing the Step-by-Step approach on care quality in young febrile infants.DESIGN:
Observational study including infants ≤90 days old with fever without source seen in a paediatric emergency department 5 years before (n=1222) and after (n=1151) its introduction. Quality of care was evaluated in terms of adherence to recommendations, resource use and safety.RESULTS:
Adherence percentages of infants undergoing both urine and blood tests and infants <15 days old receiving full sepsis evaluation increased (84.7% vs 91.0% and 23.9% vs 63.3%, respectively; p<0.01). Resource use lumbar puncture and admission rates decreased (24.1% vs 18.7% and 43.6% vs 38.3%, respectively; p<0.01), while the rate of antibiotic therapy increased (30.2% vs 43.2%; p<0.01). SAFETY the invasive bacterial infection rate among infants managed as outpatients was unchanged (0.7% vs 0.3%; p=0.24).CONCLUSION:
The introduction of the Step-by-Step increased the quality of care provided to young febrile infants.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Calidad de la Atención de Salud
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Infecciones Bacterianas
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Sepsis
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Adhesión a Directriz
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Fiebre de Origen Desconocido
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Guideline
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Observational_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Infant
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Male
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Newborn
Idioma:
En
Año:
2021
Tipo del documento:
Article