Publications by authors named "Renee Trajano"
Objective: Assess the effectiveness of a multifaceted stewardship intervention to reduce frequency and duration of inappropriate antibiotic use for emergency department (ED) patients with skin and soft tissue infections (SSTI). We hypothesized the antibiotic stewardship program would reduce antibiotic duration and improve guideline adherence in discharged SSTI patients.
Design: Nonrandomized controlled trial.
Background: Inappropriate antibiotic use is implicated in antibiotic resistance and resultant morbidity and mortality. Overuse is particularly prevalent for outpatient respiratory infections, and perceived patient expectations likely contribute. Thus, various educational programs have been implemented to educate the public.
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- Field triage guidelines suggest transporting head-injured patients on blood thinners to a higher-level trauma center due to high rates of traumatic intracranial hemorrhage (tICH).
- A study involving over 1300 older adults found that the incidence of tICH was similar in patients taking anticoagulants or antiplatelets compared to those not taking them.
- The study determined that existing triage criteria were not effective in accurately identifying patients needing trauma center care, though adding anticoagulant or antiplatelet history improved sensitivity in detection.