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Appropriate prescribing of azithromycin for community‐acquired pneumonia

Azithromycin is prescribed for atypical antimicrobial cover in severe community‐acquired pneumonia. Inappropriate azithromycin administration incurs unnecessary financial costs, exacerbates antimicrobial resistance and risks QTc interval prolongation leading to cardiac arrhythmias. The present study...

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Detalles Bibliográficos
Autores principales: Qian, Sue, Siu, Johnny, Hussein, Abbas, Zheng, Yizhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9322330/
https://www.ncbi.nlm.nih.gov/pubmed/35608398
http://dx.doi.org/10.1111/imj.15810
Descripción
Sumario:Azithromycin is prescribed for atypical antimicrobial cover in severe community‐acquired pneumonia. Inappropriate azithromycin administration incurs unnecessary financial costs, exacerbates antimicrobial resistance and risks QTc interval prolongation leading to cardiac arrhythmias. The present study demonstrated that a majority of patients were prescribed azithromycin without having electrocardiograms to assess the QTc interval and without meeting criteria for severe community‐acquired pneumonia based on CURB‐65 score.