在住院儿童中使用化诺:基于诊断的分层来确定管理目标
Simon Parzen-Johnson1, Shan Sun1, Tonya Scardina2
1Division of Infectious Diseases, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Open forum infectious diseases
|June 16, 2023
概括
诺基诺在儿童中的使用正在转变,瘤学和腹腔内感染患者的使用量增加. 囊性纤维化患者表现出诺基诺使用量下降,指导针对性的抗生素管理工作.
科学领域:
- 儿童传染病 儿童传染病
- 抗微生物药物管理管理
- 医疗信息学 医疗信息学
背景情况:
- 诺基诺 (FQ) 的使用模式正在儿童群体中发生变化.
- 医疗复杂的儿童需要精确的抗生素管理干预.
- 副作用和耐药性需要更好的FQ使用指标.
研究的目的:
- 在儿科住院患者中确定诺基诺的高利用群体.
- 根据潜在的医疗条件来描述FQ使用的趋势.
- 为了告知有针对性的抗生素管理战略.
主要方法:
- 对儿科健康信息系统数据库 (2016-2020年) 的回顾性分析.
- 使用ICD-9/10代码识别高利用群体.
- 根据患者组划分住院FQ使用率和比例使用率.
主要成果:
- 瘤学患者占FQ使用的比例越来越高 (25%-44%).
- 腹腔内感染显示相对FQ使用和每次接触使用增加.
- 囊性纤维化患者表现出整体FQ使用和每次接触使用的下降.
结论:
- 瘤学和腹腔内感染患者群体是FQ管理的关键目标.
- 在囊性纤维化患者的住院FQ使用量有所下降.
- 识别高产群体有助于优化儿科住院患者的抗生素管理.
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