在内分泌外科手术期间的外科手术期间使用抗生素:印度普遍的实践模式的多机构,国家级,横截面审计
Rishi Nayyar1, Shritosh Kumar1,
1Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
概括
在印度的内泌尿外科手术中使用抗生素往往偏离了指导方针,常见的是多天,组合和出院后的预防. 这种做法突出了减少过度使用抗生素和打击耐药性的重要机会.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 在内分泌学手术中使用抗生素会带来耐药性,不良反应和增加医疗保健成本的风险.
- 当前的处方做法往往与既定指导方针有所不同.
- 进行了一项全国性的审计,以评估印度在这些程序中使用抗生素的情况.
研究的目的:
- 为了确定目前的抗生素处方实践,用于印度的内分泌手术.
- 为了确定处方抗生素不符合指导方针的原因.
- 评估与指导方针不一致的抗生素使用率.
主要方法:
- 一个多机构,国家一级,选择性内分泌学程序的跨部门审计.
- 收集关于疾病概况,风险因素,尿液培养和抗生素使用 (手术前,周围,术后) 的数据.
- 实时数据输入到一个集中在线门户.
主要成果:
- 分析了来自20家医院的1538例病例.
- 单剂量预防仅在20.7%的病例中使用;大多数人接受了多天的预防.
- 88.2%的病例接受了长期的出院后预防,其中77.4%接受了超过3天的治疗.
- 75.4%的人接受了基于机构协议的指导方针不一致的预防.
结论:
- 多剂量,组合和出院后的抗生素预防在印度对于内分泌外科手术非常普遍.
- 在这些程序中,有很大的潜力来减少与指导方针不一致的过度使用抗生素.
- 解决这些做法可以减轻与抗生素耐药性和医疗保健成本相关的风险.
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