深入探讨在拉丁美洲医院实施抗菌管理计划的差距和障碍
Valeria Fabre1, Clara Secaira2, Sara E Cosgrove1
1Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
在拉丁美洲,抗菌素耐药性正在上升. 这项研究发现,由于领导和培训有限等障碍,许多医院的抗微生物管理计划 (ASP) 不足,阻碍了有效的抗微生物管理.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 抗菌素耐药性 (AMR) 在拉丁美洲构成了日益严重的威胁.
- 有限的国家政策阻碍了抗菌药物管理计划 (ASP) 的发展.
- 了解ASP开发和实施障碍对该地区至关重要.
研究的目的:
- 评估拉丁美洲各医院抗菌管理计划 (ASP) 的发展情况.
- 确定影响ASP实施和有效性的关键障碍.
- 为改善该地区抗菌药物管理倡议提供见解.
主要方法:
- 在五个拉丁美洲国家进行了一项描述性的混合方法研究 (2022年3月至7月).
- 医院填写了一份电子自我评估问卷,以评分ASP的发展.
- 采访了医疗保健工作者,以探索影响抗微生物药物管理 (AS) 的行为和组织因素.
主要成果:
- 35%的医院有不充分或基本的ASP发展;50%是中间的;15%是先进的.
- 与非营利性机构相比,营利性医院的ASP发展得分较高.
- 关键障碍包括有限的领导支持,不足的员工/工具,低水平的HCW意识和不足的培训.
结论:
- 显著的障碍阻碍了拉丁美洲有效的ASP发展.
- 为ASP开发强有力的商业案例对于获得资金和确保可持续性至关重要.
- 解决已识别的障碍对于加强抗菌药物管理和打击耐药性至关重要.
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