一个协调和多学科的战略可以减少在大学医院的败血症患者的抗生素的时间
Rafael Barberena Moraes1, Jaqueline Sangiogo Haas1, Josi Vidart1
1Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
概括
一个协调的医院策略显著减少了对败血症患者施用抗生素的时间. 及时提供抗生素的改进提高了患者的护理和在危急情况下的结果.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 医院管理局 医院管理局
背景情况:
- 败血症和败血性休克需要及时服用抗生素才能有效治疗.
- 抗生素治疗的延迟与败血症患者的发病率和死亡率增加有关.
- 优化抗生素的输送是重症监护机构的关键质量指标.
研究的目的:
- 评估多面干预策略对败血症或败血性休克患者抗生素适时服用的有效性.
- 为了评估从诊断到对抗生素输注的时间变化,在一定的时间内.
- 确定质量改善举措对重症监护过程的影响.
主要方法:
- 在大学医院的急诊室和重症监护室进行的前性观察研究.
- 每日评估社会人口统计和临床变量,包括从败血症诊断到抗生素开始的时间.
- 对2013年至2018年期间收集的数据进行分析,包括诸如败血症护理质量改善计划和抗菌药物管理计划等干预措施.
主要成果:
- 抗生素输注的平均时间显著减少,从6.1 ± 8.6小时减少到1.7 ± 2.9小时 (p < 0.001).
- 在第一小时内接受抗生素的患者比例大幅增加,从20.7%上升到59.0% (p < 0.001).
- 在研究期间,评估了1676名患者.
结论:
- 一个协调和多学科的战略有效地减少了在败血症患者的抗生素治疗的时间.
- 实施各种质量改善措施对抗生素输送速度产生了积极影响.
- 这些发现凸显了整合全医院努力在管理毒等严重疾病的重要性.
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