七个拉丁美洲国家的抗菌管理计划:面对挑战
Christian José Pallares1,2, Jessica Porras1, Elsa De La Cadena1
1Grupo de Investigación en Resistencia Antimicrobiana y Epidemiología Hospitalaria (RAEH), Universidad El Bosque, Bogotá, Colombia.
BMC infectious diseases
|July 11, 2023
概括
在拉丁美洲的医院评估了抗菌药物管理计划 (ASP). 实施量身定制的干预措施改善了ASP的发展,并导致显著的抗生素成本节省.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 超过50%的医院抗生素使用是不必要的,导致抗菌素耐药性和重大成本.
- 抗生素耐药性带来了巨大的经济负担,估计每年超过200亿美元的医疗费用.
- 抗生素管理计划 (ASP) 对于减少不适当的抗生素使用,打击耐药性和降低医疗保健成本至关重要.
研究的目的:
- 通过使用标准化定量指标,评估拉丁美洲七家医院的ASP发展情况.
- 评估定制干预措施对ASP发展和抗生素成本节约的影响.
主要方法:
- 一项干预性研究,涉及使用标准化评分工具进行干预前后评估.
- 用国际认证标准调整的评分工具量化ASP的发展.
- 提供了定制的现场培训,随后进行了干预后评估和货币节省的估计.
主要成果:
- 七家医院的ASP发展平均得分为干预前65.8%.
- 干预后,五家医院的平均ASP发展得分为82.3%,增加了12.0%.
- 改善的关键领域包括监测,沟通,关键绩效指标和处方者教育;三个医院报告了货币节省.
结论:
- 评估工具有效地发现了ASP发展的差距,并指导了量身定制的干预措施.
- 实施的战略成功地改善了参与机构的ASP开发.
- 该研究表明,ASP干预措施可以在抗菌药物成本上带来可衡量的货币节省.
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