Impact of Introduction of a Clinical Pathway for the Management of Pyelonephritis on Obstetric Patients: a Quality Improvement Project

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2019
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Abstract
Aim To determine whether the introduction of a clinical pathway for the treatment of pyelonephritis in obstetric patients would improve outcomes. Methods This was a retrospective study conducted in a maternity hospital using quantitative analysis methods. Patients who met laboratory and clinical criteria for pyelonephritis during data collection were included. Results The study included analysis of 23 patients pre-intervention and 19 post-intervention. Baseline and patient characteristics were similar for both groups. A statistically significant difference was seen in 3 of 7 outcome measures. Increased use of gentamicin (13% Vs 52% p=0.006), Increased number of renal ultrasounds (17% Vs 47%, p=0.04) and increased use of prophylaxis (21% Vs 68%, p=0.003). The proportion of patients receiving ā‰„ 10 days of IV antimicrobials decreased from 48% to 21% post-intervention (p=0.07). Discussion This study has shown that the introduction of a pathway for the treatment of pyelonephritis in pregnancy had a positive impact on several important clinical outcomes.
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clooney2019impactirish Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Clooney, L;Ronayne, A;Glennon, K;Brennan, M;Hickey, N;Magee, C;Cooley, S;Eogan, M;Drew, R J;
Journal irish medical journal
Year 2019
DOI DOI not found
URL URL not found
Keywords
Magnetic resonance imaging ultrasound brain prenatal diagnosis ultrasonography microcephaly fetus scan ventriculomegaly

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