对常见传染病过度使用抗生素的表征 医院出院时的感染病状
Rebecca Zodrow1, Andrew Olson1, Stephanie Willis1,2
1Department of Pharmacy, The University of Kansas Health System, Kansas City, KS, USA.
在出院时过度使用抗生素是肺炎,囊炎和蜂炎的常见病例,导致更长的住院时间和更多的急诊. 在护理过渡期间,抗菌药物管理干预非常重要.
科学领域:
- 传染性疾病 传染性疾病
- 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:
- 在医院出院时过度使用抗生素是管理常见感染的一个重要问题.
- 优化抗生素处方实践对于患者安全和打击抗菌素耐药性至关重要.
研究的目的:
- 评估社区获得性肺炎 (CAP),无并发性囊炎和轻度非性细胞炎患者在医院出院时过度使用抗生素的发生率和结果.
- 确定导致过度使用抗生素的因素及其对患者护理的影响.
主要方法:
- 在一个大型学术医疗中心进行了一项回顾性队列研究.
- 从电子医疗记录中分析了182名成人患者的数据,这些患者因CAP,囊炎或蜂炎而获得抗生素.
- 排放时的抗生素订单被评估为过度使用,主要定义为过度持续时间.
主要成果:
- 过度使用抗生素在所有三个疾病中都非常普遍:CAP (69.6%),囊炎 (75.0%) 和细胞炎 (96.6%).
- 过度的抗生素持续时间是过度使用的主要原因.
- 过度使用抗生素与住院时间明显长,出院后急诊室访问量增加有关.
结论:
- 过度使用抗生素是因为常见的传染病而出院的普遍问题.
- 针对护理转型是抗微生物药物管理干预措施的关键机会,以减少过度使用和改善患者的治疗结果.
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