评估社区抗生素处方在加拿大阿尔伯塔省的适当性,2017-2020年,使用ICD-9-CM代码:一个横截面研究
Myles Leslie1, Raad Fadaak2, Brendan Cord Lethebe2
1School of Public Policy (Leslie, Fadaak) Cumming School of Medicine, University of Calgary; Department of Community Health Sciences (Leslie) Cumming School of Medicine, University of Calgary; Clinical Research Unit (Lethebe, Hart Szostakiwskyj), Cumming School of Medicine, University of Calgary, Calgary, Alta. Myles.leslie@ucalgary.ca.
阿尔伯塔省近40%的抗生素处方是不合适的,这凸显了需要改善社区环境中的抗生素管理. 这影响了公共卫生和抗微生物药物耐药性的担忧.
科学领域:
- 公共卫生 公共卫生
- 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:
- 抗菌素耐药性是一个重大的全球健康威胁.
- 基于社区的抗生素处方占抗生素使用的很大一部分.
- 在门诊环境中有效的抗生素管理对于打击耐药性至关重要.
研究的目的:
- 分析在加拿大阿尔伯塔省社区门诊诊所处方抗生素的适当性.
- 评估阿尔伯塔省医生在三年内对抗生素管理的做法.
主要方法:
- 从2017年4月到2020年3月,对阿尔伯塔省成年患者开出的抗生素处方进行了大规模分析.
- 链接国际疾病分类,第九版 (ICD-9-CM) 诊断代码与药品发行记录.
- 根据适当性对抗生素处方进行分类:总是,可能,永远或没有诊断代码.
主要成果:
- 对135万名成年患者的超过310万份抗生素处方进行了分析.
- 大约39.2%的抗生素处方被归类为"永远不合适".
- 阿莫西西林,阿齐思罗米和克拉里思罗米是最常被处方的"永远不适合"的抗生素.
结论:
- 阿尔伯塔省近40%的社区抗生素处方是不适当的.
- 研究结果表明,需要加强政策和计划,以改善成人门诊患者的抗生素管理.
- 解决不适当的处方对于公共卫生和减轻抗菌素耐药性至关重要.
更多相关视频
11:17Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
08:58Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
相关概念视频
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
Antibiotic Selection
Acute Pyelonephritis II: Diagnostic Studies and Management
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
