关于红十字会战争纪念儿童医院,开普敦使用万科迈的描述性研究
Leonore Greybe1, Brian S Eley1, Hafsah D Tootla2
1Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Southern African journal of infectious diseases
|December 7, 2023
概括
在南非,儿童的万科米辛处方显示出剂量错误,长时间的实证使用和监测不足. 改进的做法对于保持万科米辛在儿童中的有效性至关重要.
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
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗微生物药物管理原则对于指导抗微生物药物的使用至关重要,包括菌素.
- 南非的儿科万科米辛处方做法以前没有得到评估.
研究的目的:
- 为了记录使用,处方实践和监测静脉注射儿童的万科米辛.
- 为了分析从接受静脉注射万科米辛的儿童中分离出来的细菌的光谱.
主要方法:
- 红十字战争纪念儿童医院 (RCWMCH) 在2019年对红十字会战争纪念儿童医院 (RCWMCH) 给儿童输入静脉菌素的回顾性审计.
- 包括143名儿童的158个万科米辛处方病例.
主要成果:
- 总体而言,每1000个患者日中使用万科米辛的治疗时间为63天.
- 开始剂量的中位数为15mg/kg/剂量,其中80%是经验规定的.
- 在66%的符合条件的发作中监测了万科米辛的最低度,只有25%在第四剂量之前抽取.
结论:
- 确定的问题是剂量错误,长时间的经验性万科米辛治疗和不充分的监测.
- 有机会改善儿童患者的万科米辛处方和监测.
- 改进的做法可以帮助维护万科米的疗效.
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