Can pre‐hospital administration reduce time to initial antibiotic therapy in septic patients? Academic Article uri icon

abstract

  • OBJECTIVE:To quantify the potential time saved with pre-hospital antibiotic therapy in sepsis. METHODS:Study data for adult patients transported by Ambulance Victoria (AV), and enrolled into the Australasian Resuscitation In Sepsis Evaluation (ARISE), were linked with pre-hospital electronic records. RESULTS:An AV record was identified for 240 of 341 ARISE patients. The pre-hospital case notes referred to potential infection in 165 patients. The median time to first antibiotic administration from loading the patient into the ambulance was 107 (74-160) min. CONCLUSIONS:ARISE patients in Victoria were frequently identified pre-hospital. An opportunity exists to study the feasibility of pre-hospital antibiotic therapy.

authors

  • Cudini, Daniel
  • Smith, Karen
  • Bernard, Stephen
  • Stephenson, Michael
  • Andrew, Emily
  • Cameron, Peter
  • Lum, Mark
  • Udy, Andrew
  • Bennett, V
  • Board, J
  • McCracken, P
  • McGloughlin, S
  • Nanjayya, V
  • Teo, A
  • Bellomo, R
  • Bolch, S
  • Eastwood, G
  • Kerr, F
  • Peak, L
  • Young, H
  • Edington, J
  • Fletcher, J
  • Smith, J
  • Cross, A
  • Flemming, D
  • Grummisch, M
  • Purdue, A
  • Coles, T
  • Connor, H
  • Dennett, J
  • Van Berkel, A
  • Braitberg, G
  • O'Bree, B
  • Shepherd, K
  • Vij, S
  • Allsop, S
  • Haji, D
  • Haji, K
  • Vuat, J
  • Bone, A
  • Elderkin, T
  • Orford, N
  • Ragg, M
  • Dowling, J
  • Galt, P
  • Lamac, T
  • Lightfoot, D
  • Walker, C
  • MacIsaac, C
  • Gorman, K
  • Jordan, A
  • Moore, L
  • Farone, E
  • Holmes, J
  • Santamaria, J
  • Winter, C
  • Bates, S
  • Butler, J
  • French, C
  • Tippett, A

publication date

  • August 2019