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Iniciativa de Mejora de la Calidad para Disminuir el Uso de Antibióticos Intravenosos en Lactantes Febriles

Jessica M Kelly1,2, Laura F Sartori1,2, Payal Gala1,2

  • 1Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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Resumen
Este resumen es generado por máquina.

Este proyecto de mejora de la calidad redujo con éxito el uso de antibióticos en lactantes febriles mediante la implementación de directrices actualizadas y pruebas de marcadores inflamatorios. Las pruebas de procalcitonina (PCT) aumentaron significativamente, lo que condujo a una atención más segura para los niños pequeños.

Palabras clave:
mejora de la calidadlactantes febrilesantibióticosprocalcitoninadirectrices AAP

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Área de la Ciencia:

  • Pediatría; Enfermedades infecciosas; Mejora de la calidad

Sus antecedentes:

  • Las directrices de la AAP de 2021 recomiendan marcadores inflamatorios (IM) como la procalcitonina (PCT) para identificar lactantes febriles de bajo riesgo elegibles para no recibir antibióticos.
  • Un proyecto de mejora de la calidad (QI) se dirigió a lactantes febriles de 22 a 56 días en el servicio de urgencias.

Objetivo del estudio:

  • Disminuir de forma segura la administración de antibióticos en lactantes febriles de una línea base del 46% al 36% en un año.
  • Garantizar que las reducciones en el uso de antibióticos fueran equitativas en diferentes razas, etnias y lenguas preferidas.

Principales métodos:

  • Un equipo multidisciplinario implementó intervenciones que incluyeron actualizaciones de la vía clínica, apoyo a la toma de decisiones clínicas (CDS) y educación.
  • Se utilizaron cuatro ciclos de Planificar-Hacer-Estudiar-Actuar, con control estadístico de procesos analizando el uso de antibióticos y los resultados de PCT.
  • La bacteriemia omitida o la meningitis bacteriana sirvieron como medida de equilibrio.

Principales resultados:

  • El uso de antibióticos disminuyó del 46% al 33%, notablemente en lactantes de 22 a 28 días (86% a 43%).
  • El uso de procalcitonina (PCT) aumentó del 4% al 97% sin disparidades en las pruebas de IM.
  • El uso de antibióticos disminuyó en lactantes blancos no hispanos pero no en lactantes negros no hispanos; no se produjeron casos de bacteriemia o meningitis omitidas.

Conclusiones:

  • Un marco de QI que integra vías clínicas, CDS y educación redujo eficazmente la exposición a antibióticos en lactantes febriles de hasta 22 días, en consonancia con las directrices de la AAP.
  • Los esfuerzos futuros deben abordar la garantía de reducciones equitativas en la exposición a antibióticos en todas las poblaciones de lactantes.