确定多学科门诊抗微生物治疗方案在高度社会脆弱的地区的潜在影响
Karen K Tan1,2, Garret Hino3,2, Anna Y Zhou3,2
1Department of Pharmacy, Loma Linda University Medical Center, 24745 Stewart Street, Loma Linda, CA 92354, USA.
Therapeutic advances in infectious disease
|August 28, 2023
概括
实施多学科门诊亲肠道抗菌药物治疗 (OPAT) 计划可以减少并发症和节省成本. 药物错误是改善患者护理过渡的关键干预点.
科学领域:
- 传染性疾病 传染性疾病
- 抗微生物药物管理委员会
- 医疗保健服务研究 医疗服务研究
背景情况:
- 门诊亲肠道抗菌疗法 (OPAT) 和复杂门诊抗菌疗法 (COpAT) 对于管理传染病至关重要,但也带来了挑战.
- 脆弱的患者群体在OPAT/COpAT的退院前后过渡期间面临特别困难.
研究的目的:
- 评估通过家庭卫生服务接受OPAT/COpAT的患者的门诊并发症.
- 确定免费处理前和后的干预机会.
- 为了估计多学科ID团队运行的OPAT/COpAT计划的成本节约.
主要方法:
- 在3个月的时间内,对OPAT/COpAT出院的患者进行了回顾性队列研究.
- 数据收集的重点是排放前干预和排放后并发症.
- 利用家庭卫生服务来管理患者.
主要成果:
- 与药物相关的问题是出院前最常见的并发症,表明超过50%的干预机会.
- 超过一半的患者经历了出院后的并发症,最常见的是外围插入的中央导管 (PICC) 线问题 (20.7%).
- 一个多学科的OPAT/COpAT程序可以在3个月的研究期间节省超过10万美元.
结论:
- 在社会脆弱地区实施多学科的OPAT/COpAT计划可以减少抗菌药物治疗的并发症.
- 解决与药物相关的问题对于干预至关重要.
- 一个ID团队可以显著改善需要抗微生物治疗的患者的护理过渡.
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