在社区教学医院优化护理过渡的抗菌素处方
Jordan Smith1,2, Jeremy Frens1, Dhaval Mehta1,2
1Moses H. Cone Memorial Hospital, Greensboro, NC, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|December 29, 2023
概括
药剂师的干预显著改善了医院出院时适当的抗生素处方. 这一管理努力通过审查排放处方的适当性来加强抗菌素的使用.
科学领域:
- 临床药房 临床药房
- 抗微生物药物管理委员会
- 健康 结果 研究 研究 结果
背景情况:
- 医院出院时的抗生素处方是抗菌药物管理的一个关键领域.
- 确保适当的抗微生物药物使用对于打击耐药性和改善患者结果至关重要.
研究的目的:
- 评估药剂师主导干预对医院出院时适当的抗生素处方的影响.
- 评估药剂师建议在优化抗微生物药物治疗方案方面的有效性.
主要方法:
- 在社区教学医院采用了研究前/研究后设计.
- 药剂师审查了处方的抗生素处方,以确定持续时间,频谱,频率和剂量的适当性.
- 干预涉及药剂师向提供者推优化治疗的药剂师建议.
主要成果:
- 出院时适当的抗生素处方率从追溯队列中的47%增加到前队列中的68% (p = 0.001).
- 药剂师的审查和建议与适当的抗微生物药物处方的统计学显著改善有关.
结论:
- 在医院出院时,药剂师主导的干预有效地改善了适当的抗菌素处方.
- 监管药剂师的参与提高了在医院出院的关键过渡时使用抗生素的质量.
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