The Future of Antibiotic Therapy

If you don’t know where you’re going, any road will get you there.* There are many things about the use of antibiotics in medicine that need to change. Here's our list of the top five for hospitals:

  • Antibiotics always get started promptly when indicated.
  • Empiric therapy is 'personalized' - fully tailored to the history of the individual and their presentation in time and place.
  • Results from rapid diagnostic tests are rapidly acted on.
  • When testing reveals that a less expensive antibiotic, or one less likely to drive resistance, will be as effective, the medication gets promptly changed.
  • Antibiotics always get stopped when it's clear there is no infection.

Along with advancements in both diagnostic technology and evidenced-based practice, accomplishing these things will be dependent on further developments in information technology, including:

  • Systems with Clinical Decision Support that incorporate real-time patient, hospital, and community data to recommend "personalized" empiric therapy - and do so in a way that is fast and fully incorporated in clinicians' workflow.
  • Systems to promptly communicate new information coming from rapid diagnostics to the clinicians who might need to change orders, with built-in routines to escalate the information to other providers if the primary provider is not available.
  • Systems that make following evidence-based protocols the single-click default, but also provide information on whether the patient appears to fit the requirements for the protocol, and easily allow changing the order based on the patient's clinical presentation.

Our goal at Teqqa is to help make these things happen.  We know where we are going.

 

* Often attributed as a Lewis Carroll quote, it is rather the iconic summary of a conversation between his characters Alice and the Cheshire Cat.