在对2019年新冠肺炎 (COVID-19) 肺炎进行评估的住院患者中进行诊断测试和使用抗生素
Megan R Wimmer1, Meggie Griffin2, Alex Peterson-Weber1
1Department of Pharmacy, University of Wisconsin Health, Madison, Wisconsin.
Infection control and hospital epidemiology
|December 27, 2023
概括
在Omicron波期间,COVID-19肺炎患者的抗生素使用量很高,即使使用了prokalcitonin测试. 这突显了在呼吸道感染中可能过度使用抗生素的可能性.
科学领域:
- 传染性疾病 传染性疾病
- 临床微生物学 临床微生物学
- 公共卫生 公共卫生
背景情况:
- 严重急性呼吸道冠状病毒2 (SARS-CoV-2) Omicron变异激增导致COVID-19肺炎的评估增加.
- 抗生素管理至关重要,特别是在病毒大流行期间,以防止耐药性.
研究的目的:
- 在SARS-CoV-2 Omicron波期间评估COVID-19肺炎的患者的诊断测试和抗生素使用情况.
- 为了确定前素测试是否影响了抗生素处方模式.
主要方法:
- 对来自美国11家医院的252名患者进行了回顾性分析.
- 诊断测试和抗生素使用数据的评估.
- 专注于在Omicron变种流行浪潮期间评估COVID-19肺炎的患者.
主要成果:
- 在SARS-CoV-2阳性患者中,抗生素使用率高达62%.
- 抗生素的利用率增加到68%的患者接受了prokalcitonin测试.
- 尽管肺炎的病毒病因,但高水平的抗生素使用仍然存在.
结论:
- 在Omicron浪潮期间,针对COVID-19肺炎的抗生素处方仍然很高.
- 在这个队列中,前素测试并没有显著减少抗生素的使用.
- 需要进一步的战略来优化对病毒性呼吸道感染的抗生素管理.
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