PACTA-Ped:西班牙一家三级医院的抗菌药物管理计划
Serena Villaverde1, José Manuel Caro2, Sara Domínguez-Rodríguez3
1Pediatric Infectious Diseases Unit, Pediatrics Department, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Research and Clinical Trials Unit (UPIC), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain.
Anales de pediatria
|October 27, 2023
概括
在儿科医院实施抗菌药物管理计划 (ASP) 显著减少了广谱抗生素的使用和相关成本. 这一举措对于打击儿童抗菌素耐药性至关重要.
科学领域:
- 儿童传染病 儿童传染病
- 抗微生物药物管理委员会
- 医院 医院药房 医院药房
背景情况:
- 抗菌素耐药性是全球卫生优先事项.
- 在儿科环境中优化抗菌素处方是必不可少的.
- 减少与医疗保健相关的感染需要改进抗微生物药物的使用.
研究的目的:
- 评估抗菌药物管理计划 (ASP) 对儿科医院抗菌药物处方的影响.
- 评估广泛抗生素和抗真菌药物的使用变化.
- 确定实施的ASP的成本效益.
主要方法:
- 展望纵向研究,比较在 (2014-2015年) 实施ASP之前和 (2016-2017年) 实施ASP之后的抗菌药物使用情况.
- 纳入标准:接受广谱抗菌剂,抗真菌剂或IV抗生素治疗的儿科住院患者>5天.
- 数据分析的重点是抗微生物药物处方模式,治疗持续时间和成本.
主要成果:
- 在ASP后治疗日数 (-27.8%) 和抗微生物药物开始 (-22.9%) 显著下降.
- 减少对碳烯,和糖的使用.
- 年平均抗菌药物成本从150,356欧元下降到98,478.8欧元.
结论:
- 儿科ASP有效降低了广谱抗生素和抗真菌药物的消费.
- 通过ASP的实施,节省了大量的成本.
- 这项研究证明了在儿科护理中抗菌药物管理的成本效益.
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