大学病院における静脈内ヴァンコマイシン使用の流行病学. 10年間の研究結果です
1Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.
JAMA
|February 3, 1993
まとめ
ヴァンコマイシンの使用は,10年間で20倍に急増し,これは血液腫瘍学患者の血管内置装置によって引き起こされた. その使用は,経験的,予防的,および指向された治療法に等しく分割されています.
科学分野:
- 感染症 感染症は感染症です.
- エピデミオロジー エピデミオロジー
- 薬理学 薬理学とは
背景:
- 静脈内投与のバンコマイシンは,深刻な感染症の治療に不可欠な抗生物質です.
- バンコマイシン使用の傾向と予測要因を理解することは,抗菌薬管理に不可欠です.
研究 の 目的:
- 静脈注射バンコマイシン使用の10年間の傾向を分析するために.
- バンコマイシンの処方箋の指示を分類する.
- 経験的なバンコマイシン使用のための独立した予測要因を特定する.
主な方法:
- 大学教育病院での10年間の記述的な疫学研究 (1981年−1991年).
- 横断的および症例対照的研究では,バンコマイシンの徴候および予測要因が評価されました.
- 多変量分析により,経験的なバンコマイシン使用の決定要因が特定されました.
主要な成果:
- バンコマイシンの使用量は20倍に増加しました (5.72〜121.25g/1000患者日).
- 血液学・腫瘍学 (P < .0001) で使用率が最も高かった.
- 予防 (35.0%),経験療法 (31.8%),および指向療法 (33.2%) が使用された.
- 定住血管装置 (IV線,ヒックマンキャセター) は,バンコマイシン使用の強い予測因子でした.
結論:
- バンコマイシンの使用は,この10年間で大幅に増加し,内定の血管装置に関連しています.
- hematology-oncologyの患者は,バンコマイシンの利用率が高いことを示しました.
- バンコマイシン処方箋は,経験的,予防的,および指向された治療法に等しく分配されました.
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