在重症监护病房的物质监控:一种积极的监控
Lakshay Kumar Attri1, Ballaekere Jayaram Subhash Chandra2, Madhan Ramesh1
1JSS College of Pharmacy, Mysuru, Karnataka, India.
Hospital pharmacy
|June 26, 2023
概括
医疗器械相关不良事件 (MDAE) 在重症监护室 (ICU) 很常见,特别是在老年人中. 尿道导管和呼吸器是常见的来源,导致严重的并发症,如尿道感染和肺炎.
科学领域:
- 医疗保健质量和患者安全
- 医疗器械监管和监督 医疗器械监管和监督
- 在重症监护室的感染控制.
背景情况:
- 医疗器械是医疗保健的组成部分,但它们在重症监护室的密集使用会增加与设备相关的不良事件 (MDAE) 的风险.
- 迅速识别和报告MDAE对于减轻患者伤害和相关的医疗保健责任至关重要.
研究的目的:
- 调查MDAE的发病率,特征和促成因素.
- 在ICU环境中识别与MDAE相关的预测因素.
主要方法:
- 积极监测是在印度南部一家三级医疗教学医院的ICU中进行的.
- 根据MvPI指南文件1.2进行MDAE监测和报告.
- 预测者被分析使用几率比率与95%的置信区间.
主要成果:
- 在116名患者中报告了总共185例MDAE,男性占多数.
- 尿道导管 (22.7%) 和呼吸器 (18.9%) 是主要的设备,导致尿路感染和肺炎.
- 超过58%的MDAE发生在老年患者中;大多数事件是严重的 (89.2%) 并与一次性设备有关.
结论:
- 在ICU中,MDAE是不可避免的挑战,增加了患者的痛苦,住院和成本.
- 严格的患者监测,特别是对于老年人和多次设备暴露的人来说,对于管理MDAE至关重要.
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