Clinical\ndecision systems are getting more and more specialized and their capacity to\nintegrate clinical data, sometimes in real time, brings new opportunity to\ninteract with the prescribers at a higher level.<\/p>\n\n\n\n
Available\nsystems can identify sub-optimal prescription with simple rules like the\nidentification of broad-spectrum or costly antimicrobials for a limited\nduration, switch from intravenous (IV) to oral treatments in patients capable\nof ingesting other oral drugs and receiving a minimal duration of IV\nantimicrobial beforehand. Beyond the capacity to continue refining these rules\nby integrating additional criteria to increase the alerts\u2019 specificity, a new\ntrend is emerging: the syndromic approach.<\/p>\n\n\n\n
Advanced\nknowledge and extended clinical variables integration give the prescribers the\nability to go further in patients\u2019 management. For instance, in the classical\napproach, a patient with a methicillin-susceptible Staphylococcus aureus<\/em> positive blood culture will generate alerts\nif he is not on a current antimicrobial, is the dosage is insufficient, if he\nreceives a combination of redundant spectrum antimicrobials, or is he has\nsignificant interactions with other current drugs. In the syndromic approach,\nglobal aspects of clinical management will be targeted. Does the patient have\nthe criteria for a shorter IV treatment (no metastatic foci of infection, no\nendocarditis, IV catheters are removed, no persistent bacteremia, favorable\nclinical evolution, etc.)? Or in the eventuality of endocarditis, are surgical\ncriteria that would hasten a transfer to a tertiary care center present? Other\nsyndromes are also approachable with the same logic: candidemia, Clostridioides difficile <\/em>infections,\nurinary tract infections, etc.<\/p>\n\n\n\n By\nstructuring the clinical knowledge, by reminding the user of the next important\nclinical steps to achieve, in maximizing the use of real-time data: clinical\ndecision systems provide the tools to improve the quality and the security of\nthe care delivered.<\/p>\n","protected":false},"excerpt":{"rendered":" Clinical decision systems are getting more and more specialized and their capacity to integrate clinical data, sometimes in real time, brings new opportunity to interact with the prescribers at a higher level.<\/p>\n","protected":false},"author":6,"template":"","restrain":[],"placement":[7],"news_cat":[],"class_list":["post-679","nouvelle","type-nouvelle","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/nouvelle\/679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/nouvelle"}],"about":[{"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/types\/nouvelle"}],"author":[{"embeddable":true,"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/users\/6"}],"version-history":[{"count":4,"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/nouvelle\/679\/revisions"}],"predecessor-version":[{"id":706,"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/nouvelle\/679\/revisions\/706"}],"wp:attachment":[{"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/media?parent=679"}],"wp:term":[{"taxonomy":"restrain","embeddable":true,"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/restrain?post=679"},{"taxonomy":"placement","embeddable":true,"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/placement?post=679"},{"taxonomy":"news_cat","embeddable":true,"href":"https:\/\/lumed.ca\/en\/wp-json\/wp\/v2\/news_cat?post=679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}