塞费皮姆延长输注与间歇输注:临床和成本评估
Aalok V Khole1, Emily Dionne2, Emily Zitek-Morrison3
1Division of Infectious Diseases and International Health, Cheshire Medical Center/Dartmouth Health, Keene, New Hampshire.
延长输液塞菲皮姆的临床结果与间歇输液相似,但药物成本较低. 需要进一步的研究来证实这些cefepime施用方法之间的潜在死亡率差异.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 延长输液塞菲皮姆 (1g q6h超过3h) 显示MIC ≤8 mg/L的模拟疗效.
- 这种治疗方案的临床效用在实践中仍未得到评估.
研究的目的:
- 为了比较间歇性和延长性输液Cefepime在急性护理中的临床和经济结果.
主要方法:
- 在高等学术医疗中心进行回顾性队列研究.
- 包括接受塞菲皮姆 (2016年8月至2018年7月) 的感染败血症或肺炎的住院成年人.
- 间歇性 (2g q8h超过30分钟) 与延长 (1g q6h超过3h) 输注的临床结果和成本的比较.
主要成果:
- 111名患者接受间歇性输液,93名患者接受延长输液.
- 医院住院时间中位数 (6天 vs. 6天) 或90天再入院率 (61.3% vs. 67.7%) 没有显著差异.
- 死亡率低且相似 (2.9%与1.5%对比),延长输液的每日Cefepime成本明显较低 (43.39美元与86.06美元对比).
结论:
- 延长输液cefepime (4g/天) 的临床结果与间歇输液 (6g/天) 的临床结果相似,药物开支减少.
- 需要高质量的多中心试验来评估潜在的死亡率差异.
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