印度息治疗中的抗生素管理:单中心回顾性研究
David Thomas1,2, Vijayvardhan Kamalumpundi3, Amirtha Thampi4
1University of Louisville, School of Medicine, Louisville, KY, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|November 29, 2023
概括
这项研究评估了印度息治疗中心使用抗生素订单表 (AOF) 处方抗生素. 结果显示,AOF完成率和指导方针一致性较低,表明需要改进抗生素管理的领域.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在息治疗中,抗生素管理至关重要,以优化治疗和预防耐药性.
- 关于低收入和中等收入国家的息护理机构的抗生素处方模式的数据有限.
研究的目的:
- 在实施抗生素订单表 (AOF) 后,在印度息护理中心描述抗生素处方行为.
- 评估AOF在跟踪抗生素使用和促进准则遵守方面的有效性.
主要方法:
- 在印度的Trivandrum Institute of Palliative Sciences (TIPS) 进行了回顾性图表审查.
- 抗生素处方和患者数据从2017年1月到2019年10月收集.
- 用描述性统计和零膨胀波桑回归来分析抗生素处方和AOF一致性.
主要成果:
- 在7,450名患者中,675人 (9%) 接受了1,448次抗生素疗程.
- 局部使用的甲尼达 (44%) 和青素 (29%) 最常见.
- 只有32%的处方被记录在AOF中,18%的人遵守了指导方针.
结论:
- 这项研究为印度息治疗中的抗生素使用提供了基准.
- 需要改进的领域包括局部甲尼达的使用和年轻患者的抗生素处方.
- 对息治疗中的抗生素管理干预措施的进一步研究是有必要的.
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