|
VARIABLES: |
1 |
Patient consent |
2 |
Patient age |
3 |
Gender |
4 |
Employment status |
5 |
Transferred in from another facility or not |
6 |
History of hospitalization in the past 90 days |
7 |
History of antimicrobial use in the past 90 days |
8 |
Was the patient on any catheter |
9 |
Was the patient on any intubation |
10 |
Does the patient have malaria |
11 |
HIV status of the patient |
12 |
Patient on HAART or not |
13 |
Tb status of the patient |
14 |
Was the patient malnourished or not |
15 |
Diagnoses |
16 |
Additional Surgery |
17 |
Patient on any Antimicrobials |
18 |
Antimicrobials used including dose |
19 |
Hospital staff who prescribed the antimicrobial |
20 |
Route of administration |
21 |
Prescribed as Prophylaxis or Treatment |
22 |
Was Prophylaxis Medical or Surgical |
23 |
Duration of Antimicrobials for Surgical Prophylaxis |
24 |
Type of Infection where Antimicrobials where prescribed for Treatment |
25 |
If Culture and Sensitivity test (CST) was ordered before initiation of empiric antimicrobials |
26 |
If Culture and Sensitivity (CST) result was available in the file |
27 |
Name of organisms cultured |
28 |
If treatment modified as per CST results |
29 |
If IV antibiotics switched to Oral antibiotics if GIT was stable |
30 |
Was this item prescribed from SA-EDL |
31 |
If there were any missed doses |
32 |
If missed doses were due to out of stock issues |
33 |
If the item was written on the drug sheet |
34 |
If item was prescribed from SA-EDL |
35 |
If the item was prescribed in INN name |