Shorter Antibiotic Use Effective in 2 Uses: Studies
Research funded by FDA through the Johns Hopkins University School of Medicine under the National Action Plan for Combating Antibiotic-Resistant Bacteria has demonstrated that shorter courses of antibiotics were as effective as longer courses in two specific study populations, reducing the chance for antibiotic resistance. An FDA online paper says the studies “demonstrated the feasibility and advantages of a novel automated approach for extracting patient-level data from electronic health records to capture treatment outcomes in diverse real-world health settings. The results provide valuable evidence to inform best practices related to the duration of antibiotic treatment in diverse bacterial infections, optimizing patient outcomes while reducing the risk for antimicrobial resistance.”
Researchers developed an automated approach for extracting patient-level data from Epic electronic health record software in five hospitals in the Johns Hopkins Health System. “This novel approach enhances access to the multicenter data needed to capture clinical practice and patient experience, streamlines analyses, and defends against breeches of patient privacy,” the paper says.
The researchers used the data extracted from electronic health records to investigate antibiotic treatment optimization in Pseudomonas aeruginosa bloodstream infections in adults and pyelonephritis in children.
“The approaches used in these studies for extracting patient data to compare treatment outcomes in real-world settings promise to assist FDA in future efforts to analyze large clinical databases,” the report concludes.