在美国的一组养老院使用抗菌剂,2017年
Nicola D Thompson1, Nimalie D Stone1, Cedric J Brown1
1Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
2017年,在美国养老院居民中,抗菌剂的使用率高达8.2%,特别是那些有导管或最近入院的人. 诺和广泛的抗生素是常见的,强调了对抗菌药物的管理的需要.
科学领域:
- 公共卫生
- 传染性疾病
- 老年医学
背景情况:
- 抗菌药物耐药性是一个重大的公共卫生问题.
- 美国养老院使用抗菌剂的数据有限, 阻碍有效的控制策略.
研究的目的:
- 确定在养老院居民中使用抗菌剂的普遍程度.
- 描述这种群体中的抗菌剂类型及其适用情况.
主要方法:
- 在2017年4月至10月期间,在161个美国养老院进行了横截面的1天点患病率调查.
- 收集了15276名居民的数据,包括抗菌药物管理,居民特征和养老院数据.
主要成果:
- 抗菌药物使用的总流行率为每100名患者中的8. 2名.
- 中枢静脉 (62. 8%) 或尿道 (19. 1%) 导管患者和近期入院患者 (18. 8%) 的患病率较高.
- 尿路感染是最常见的治疗指示 (28. 1%),而诺是最常见的抗菌类 (12. 9%).
结论:
- 2017年,美国养老院的抗菌药物使用量很大,确定了特定的居民群体和适应症.
- 这些发现强调了在养老院的抗菌管理计划对抗耐药性的重要性.
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