在第三级转诊儿童医院的低于最佳的抗菌素释放处方
Yi Wolf Zhang1, Sruti Paturi2, Lauren M Puckett3
1Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|December 29, 2023
概括
近20%的儿科出院的抗菌素处方是不理想的,通常是由于持续时间或剂量不正确. 在护理过渡期间改善抗微生物药物管理是至关重要的.
科学领域:
- 儿科药理学 儿科药理学
- 抗微生物药物管理委员会
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在医院出院时处方低于最佳的抗菌药物可能导致治疗失败和耐药性.
- 有效的抗菌药物管理计划对于优化抗生素使用至关重要.
研究的目的:
- 为了确定与子最佳排放相关的速度和因素,在儿科医院处方抗菌药物.
- 确定在护理过渡期间改善抗微生物药物管理的领域.
主要方法:
- 对肠道抗微生物药物释放处方的回顾性队列研究.
- 抗菌药物管理药剂师根据选择,剂量,持续时间,频率和配方对处方的评估.
- 分析2021年1月至2021年12月的处方数据.
主要成果:
- 在2593个排泄物中,有19.7%的抗微生物药物处方不足于最佳水平.
- 错误的持续时间 (72.2%) 和剂量 (31.0%) 是最常见的问题.
- 阿莫西西林-克拉夫兰酸,克林达米辛和塞法莱克辛的处方率低于最佳水平的高率.
结论:
- 在小儿科护理中,低于最佳排泄的抗菌素处方是普遍存在的.
- 需要有针对性的干预措施来解决特定的处方错误和与药物相关的问题.
- 抗生素管理计划可以在优化医院出院期间的抗生素使用中发挥关键作用.
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