预防对比剂后急性损伤和过敏反应:英国国家审计
Y Jia1, M Szewczyk-Bieda2, R Greenhalgh3
1Department of Medicine, Imperial College London, London, UK.
Clinical radiology
|August 23, 2023
概括
英国放射科部门对预防基对比介质 (ICM) 药物不良反应的指导方针缺乏遵守. 针对脏保护和过敏反应的协议需要进行重大更新,以与当前的证据保持一致.
科学领域:
- 放射学 放射学是一门学科.
- 药物监督 药物监督 药物监督
- 患者安全 患者安全
背景情况:
- 基于的对比介质 (ICM) 广泛用于诊断成像.
- 对ICM的药物不良反应 (ADR),包括毒性和过敏性,对患者构成风险.
- 遵守既定的指导方针对于最小化这些风险至关重要.
研究的目的:
- 审计目前的英国放射学部门的预防ICM相关ADRs的协议.
- 评估是否符合皇家放射科医师学院 (RCR) 批准的指南.
- 确定患者安全协议需要改进的领域.
主要方法:
- 在英国国家卫生服务 (NHS) 提供者中进行了基于问卷的审计.
- 数据收集的重点是功能查,保护和过敏反应管理.
- 分析了129个放射科部门的反应.
主要成果:
- 只有41%的部门建议对住院患者和56%的门诊患者进行风险评估,以评估对比后急性损伤 (PC-AKI).
- 功能测试经常被过度使用和应用不当.
- 只有9%的部门对过敏反应进行了正确的风险评估,36%的部门有足够的风险减轻措施.
- 协议对RCR指南的遵守基本上是不充分的.
结论:
- 英国放射科部门明显不遵守ICM预防ADRs的RCR指南.
- 当地协议的紧急更新是必要的,以与当前的证据保持一致.
- 需要进行改进,以防止阳性致病率,减少不必要的测试,避免过度预防.
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