Date of Award
Master of Public Health
A window of one hour or less from start of signs and symptoms of infection to antibiotic administration (AWT) is considered good clinical practice in developed countries, but less feasible in resource poor countries. This study aimed to identify predictors of AWT and studied its association with hospital length of stay (LOS) and intensive care unit (ICU) admission. A survey of healthcare providers assessed quality of care associated with the institutional capacity and response. AWT averaged four days with patient status being the only predictor upon multivariate analysis. For predictors associated with outcomes, parental education and patient status were associated with LOS and absolute neutrophil count (ANC) and AWT were found to be significant predictors for ICU- admission. Only 59% of nurses recognized fever as an onologic emergency and perception of antibiotic availability varied among nurses, physicians and pharmacists. Modification of predictors may reduce AWT assuring better outcome and survival.
dissertation or thesis originally submitted to the local University of Memphis Electronic Theses & dissertation (ETD) Repository.
Kirby, Jeannette Enk, "Predictors of Wait-time for Antibiotic Initiation and its Association with Length of Hospital Stay and ICU-admission among Children with Cancer at the Southern Philippine Medical Center" (2012). Electronic Theses and Dissertations. 618.