在急性护理脊髓损伤和疾病单位实施和影响抗菌药物管理战略
Ashley M Hughes1,2, Charlesnika T Evans2,3, Cara Ray2
1Department of Biomedical and Health Information Sciences, University of Illinois Chicago, Chicago, Illinois, USA.
The journal of spinal cord medicine
|November 20, 2023
概括
退伍军人事务 (VA) 的抗菌药物管理计划 (ASP) 需要更好地针对脊髓损伤 (SCI/D) 人群. 预先授权策略显示出高影响力和实施,建议未来关注的领域.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 抗生素管理计划 (ASP) 对于优化抗生素使用至关重要.
- 退伍军人卫生局 (VA) 目前的ASP可能无法充分满足高风险人群的需求,例如脊髓损伤和疾病 (SCI/D) 患者.
研究的目的:
- 评估ASP领导者和SCI/D临床医生的33个抗微生物管理 (AS) 策略的实施和影响.
- 在SCI/D单位中,确定这两组关于AS战略有效性的看法差异.
主要方法:
- 在24个拥有SCI/D单位的VA设施中,对SCI/D临床医生和ASP领导者进行了调查.
- 参与者通过使用定义的尺度对33个AS策略的影响和实施水平进行了评价.
- 用费舍尔的精确测试来比较受访者角色之间的感知.
主要成果:
- 在VA设施之间,AS策略的实施有很大的差异.
- 预先授权被确定为具有高度影响力的 (78%) 和完全实施的 (82%) 战略.
- SCI/D临床医生和ASP领导者在他们的看法上有所不同,临床医生对报告相关策略的认识较低,对治疗持续时间和C. difficile专注策略的感知影响较高.
结论:
- 在VA设施中,AS战略的实施不一致.
- 未来的努力应优先实施高影响力的AS战略,以符合SCI/D单位和设施的特定需求.
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