Can pre-hospital administration reduce time to initial antibiotic therapy in septic patients?

Emerg Med Australas

Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.

Published: August 2019

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.

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Source
http://dx.doi.org/10.1111/1742-6723.13282DOI Listing

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