Table 2 Overview of situations in which physicians did not actually perform a checklist item which could have been performed
Checklist item | ‘YES reported, NOT actually performed’ while checklist item applied to the patient (N) | Information about actual performance | N (%) |
|---|---|---|---|
Take at least two sets of blood cultures before starting systemic antibiotic therapy | 128 | Only one set of blood cultureswas performed | 110 (86) |
Take specimens for cultures from suspected sites of infection | 138 | Diagnosis was a respiratory tract infection, sputum culture was not performed | 86 (62) |
Two possible diagnoses were recorded, only one culture was performed | 35 (25) | ||
Diagnosis was a urinary tractinfection, urine culture was not performed | 9 (7) | ||
Prescribe systemic antibiotic treatment according to the local guideline | 372 | Antibiotic treatment for a respiratory tract infection not according to the guidelines | 123 (33) |
Antibiotic treatment for two diagnoses one or both not according to the guidelines | 68 (18) | ||
Antibiotic treatment for a urinary tract infection not according to the guidelines | 64 (17) | ||
Antibiotic treatment for a skin infection not according to the guidelines | 40 (11) | ||
Adapt dose and dosing interval of systemic antibiotics to renal function | 62 | No adaption while eGFR <10 mL/min | 7 (11) |
No adaption while eGFR 10–30 mL/min | 37 (60) | ||
No adaption while eGFR 30–50 mL/min | 18 (29) | ||
Document the indication for antibiotic treatment in the case notes or electronic medical record (EMR) | 106 | No documentation | 106 (100) |
Adapt therapy when culture results become available | 136 | Change took place on the fourth day of therapy | 34 (25) |
Change took place on the fifth day of therapy | 8 (6) | ||
Switch from intravenous to oral antibiotic therapy after 48–72 h | 57 | Switch was performed on the fourth day of therapy | 27 (47) |
Switch was performed on the fifth day of therapy | 11 (19) |