关于在医院使用抗生素的十个常见误解
John C Lam1, Samuel Bourassa-Blanchette2,3
1Division of Infectious Diseases, Department of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Journal of hospital medicine
|October 9, 2023
概括
这项研究揭穿了有关医院抗生素使用的10个常见误解. 它旨在改善合理的抗生素处方,并减少对患者和社区的不良影响.
科学领域:
- 传染性疾病 传染性疾病
- 医院 医院 医疗 医疗 医疗 医疗
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗微生物药物在医院环境中经常被处方.
- 合理的抗生素处方对于患者和社区健康至关重要.
- 目前的抗生素处方做法往往基于误解.
研究的目的:
- 识别和解决关于在住院患者中使用抗菌药物的常见误解.
- 促进基于证据的抗生素处方实践.
- 为了减少与抗微生物治疗相关的不良影响.
主要方法:
- 关于住院患者使用抗生素的10个普遍神话的回顾.
- 对当代科学证据进行分析,以对抗这些神话.
- 专注于加强基于证据的临床实践.
主要成果:
- 确定了围绕在医院处方抗生素的10个常见神话.
- 提出了当前的证据来挑战这些误解.
- 强调需要更新,基于证据的处方指南.
结论:
- 消除有关抗生素使用的误解,可以改善处方实践.
- 在医院中,基于证据的抗生素管理是必不可少的.
- 解决误解可以带来更好的患者结果和降低抗菌素耐药性.
相关概念视频
Antibiotic Selection
54.6K
Overview
54.6K
Development of Antibiotic Resistance
20
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
20
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Urine Studies II: Urine Culture and Sensitivity Test
37
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
37
Combined Effects of Drugs: Synergism
4.0K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
4.0K
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
14
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
14


