儿童急诊中心常见感染抗生素使用的社会经济差异 - 一项准实验性研究
Amanda C Nedved1,2, Brian R Lee2,3, Ann Wirtz2,4
1Division of Urgent Care, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri.
Infection control and hospital epidemiology
|June 29, 2023
概括
儿童抗生素处方的社会经济差异仍然存在,尽管存在抗菌药物管理计划. 对常见感染的第一线抗生素使用的这些差异需要进一步调查和有针对性的干预措施.
科学领域:
- 儿童传染病 儿童传染病
- 医疗保健服务研究 医疗服务研究
- 抗微生物药物管理委员会
背景情况:
- 对儿科感染的第一线抗生素处方有所不同.
- 社会经济地位可能会影响抗生素处方模式.
- 抗生素管理计划旨在优化抗生素的使用.
研究的目的:
- 检查针对常见儿科感染的第一线抗生素处方的社会经济差异.
- 评估抗菌药物管理计划 (ASP) 对儿科急诊诊所 (PUC) 这些处方模式的影响.
主要方法:
- 在三家中西部儿科急诊诊所进行的准实验性研究.
- 分析了2017年7月至2020年12月期间34,603例患者接触情况.
- 在ASP实施之前和之后进行多变量回归以评估影响适当一线抗生素选择的因素.
主要成果:
- 在ASP实施之前,女性,非西班牙裔黑人,年龄较大的儿童和拥有自付保险的人获得推的第一线抗生素的几率更高.
- 在ASP实施后观察到处方的改善.
- 尽管有ASP,但社会经济处方差异仍然存在.
结论:
- 社会经济因素与PUCs中儿科感染的第一线抗生素处方有关.
- 一个ASP并没有消除这些观察到的差异.
- 抗菌药物管理领导者必须解决这些社会经济处方差异的潜在驱动因素.
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