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需要对传染病进行评估的社区医院咨询
Caitlyn M Hollingshead1, Ana E Khazan2, Justin H Franco3
1Division of Infectious Diseases, University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Mail Stop: 1186, Toledo, OH, 43614, USA. caitlyn.hollingshead@utoledo.edu.
Infectious diseases and therapy
|May 27, 2023
概括
农村医院很少将患者转移到传染病 (ID) 咨询. 然而,ID医生审查可以改善68.5%的患者的抗菌药物使用,提高抗生素管理.
科学领域:
- 传染性疾病 传染性疾病
- 抗微生物药物管理委员会
- 农村卫生 农村卫生
背景情况:
- 传染病 (ID) 咨询改善了严重感染的结果.
- 农村社区往往无法接触到ID专家.
- 没有ID覆盖的农村医院的结果未得到充分研究.
研究的目的:
- 描述缺乏身份证医生覆盖的社区医院的患者结果.
- 确定改善农村环境中抗菌药物治疗和管理的机会.
主要方法:
- 在没有ID咨询的情况下,在8家社区医院对3706名成年患者的回顾性评估.
- 对接受至少3天连续抗微生物治疗的患者的分析.
- 通过董事会认证的ID医生对抗微生物药物治疗方案的评估.
主要成果:
- 只有0.01%的患者需要转移到ID咨询.
- 在68.5%的病例中,智商医生会修改治疗方案.
- 确定需要改进的领域包括COPD恶化,SSTI,阿兹胺的使用和S. aureus细菌病管理.
结论:
- 在农村医院,转移患者进行ID咨询是不常见的.
- 对于优化抗微生物药物方案和管理,存在显著的机会.
- 将ID工作人员覆盖范围扩大到农村地区可能会改善抗生素的使用.
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