对长期护理机构的抗微生物管理干预措施采取的实施策略的评估:系统审查
Michèle Conlin1, Marie Hamard2, Nelly Agrinier3
1Regional Center for Infection Prevention and Control Pays de la Loire, Centre Hospitalier Universitaire de Nantes, Nantes, France.
在长期护理设施 (LTCFs) 中的抗菌管理 (AMS) 干预措施的有效性差异很大. 根据每个设施的特定环境定制实施策略对于成功的结果至关重要.
科学领域:
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长期护理机构 (LTCF) 的抗菌管理 (AMS) 干预面临挑战,原因是多层次的影响因素.
- AMS干预措施的有效性对LTCFs中的特定实施背景敏感.
研究的目的:
- 评估用于在LTCF实施AMS干预的策略.
- 确定这些实施策略是否考虑了组织特征.
- 评估实施的AMS干预措施的有效性.
主要方法:
- 在2022年4月之前对电子数据库进行系统审查.
- 包括专注于在LTCF实施AMS干预措施的文章.
- 数据综合利用了实施变革的专家建议 (ERIC) 框架和对实施结果的验证分类学.
主要成果:
- 在48项研究中,只有17%使用实施理论或模型. 教育和培训是共同的战略 (75%).
- 在41%的研究中报告了实施策略的有效性,通常涉及改善使用和教育.
- 43%的AMS干预措施在临床上是有效的,但实施效率有显著的差异,尽管实施效率低下,但一些干预措施在临床上是有效的.
结论:
- 在LTCF中AMS干预措施的有效性高度依赖于干预内容和选择的实施策略.
- 建议采用实施框架,以根据LTCFs独特的背景量身定制干预措施和战略.
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