Quality indicators | Inpatients | Outpatients | ||||
---|---|---|---|---|---|---|
Ranking | Total score | Applicability | Ranking | Total score | Applicability | |
QI 1. Empirical systemic antibiotic therapy should be prescribed according to the institutional, national, or international guideline | 1 | 114 | Yes | 1 | 114 | Yes |
QI 6. Empirical antibiotic therapy should be changed to pathogen-directed therapy if culture results become available | 2 | 109 | Yes | 2 | 109 | Yes |
QI 3. When starting systematic antibiotic therapy, specimens for culture from suspected sites of infection should be taken as soon as possible, preferably before antibiotics are started | 3 | 103 | Yes | |||
QI 2. Before starting systemic antibiotic therapy, at least two sets of blood cultures should be taken | 4 | 100 | Yes | |||
QI 7. Dose and dosing interval of systemic antibiotic therapy should be adapted to renal function | 5 | 96 | Yes | 3 | 96 | Yes |
QI 17. Antibiotics should be prescribed in appropriate duration | 6 | 92 | No | 4 | 92 | No |
QI 4. An antibiotic plan should be documented in the case notes at the start of systemic antibiotic therapy | 7 | 89 | Yes | |||
QI 9. Empirical antibiotic therapy for presumed bacterial infection should be discontinued based on the lack of clinical and/or microbiological evidence of infection. The maximum duration of empirical systemic antibiotic treatment should be 7 days | 8 | 88 | No | 5 | 88 | No |
QI 14. Contraindications (history of allergy, anaphylaxis, or toxicity) should be taken into account when prescribing antibiotics | 9 | 87 | No | 6 | 87 | No |
QI 18. Antibiotics with anaerobic activity combination of two or more antimicrobials | 10 | 84 | No | |||
QI 5. Systemic antibiotic therapy should be switched from i.v. to oral antibiotic therapy within 48–72 h on the basis of the clinical condition and when oral treatment is adequate | 11 | 82 | No | |||
QI 20. Follow up cultures 4–7 days after initial blood culture positivity (bloodstream infection due to Staphylococcus aureus and fungi) | 12 | 69 | No | |||
QI 8. Therapeutic drug monitoring should be performed when the therapy duration is > 3 days for aminoglycosides and > 5 days for vancomycin | 13 | 52 | No | 7 | 84 | No |