从2007年到2015年,美国的脑脊液分流感染预防技术的利用趋势
Stacey Podkovik1, Chuan Zhou2,3, Susan E Coffin4
11Department of Neurological Surgery, Riverside University Health Sciences Medical Center, Riverside, California.
Journal of neurosurgery. Pediatrics
|January 5, 2024
概括
2012年以后,医院越来越多地使用了抗生素浸导管 (AIC),同时减少了对分流感染的内耳 (IT) 抗生素的使用,除了一些例外.
科学领域:
- 神经外科 神经外科
- 预防传染病 预防传染病
- 儿科医疗保健 儿科医疗保健
背景情况:
- 旁路感染是儿科水头症管理中的一个重要并发症.
- 标准护理,内 (IT) 抗生素和抗生素浸导管 (AIC) 是预防感染的策略.
- 了解这些技术的趋势对于优化患者的治疗结果至关重要.
研究的目的:
- 描述感染预防技术在儿科分流程序中的不断发展的利用情况.
- 分析随着时间的推移,标准护理,IT抗生素,AIC和组合疗法的趋势.
- 识别不同医院采用技术的差异.
主要方法:
- 对18岁以下儿童进行初始分流安置的回顾性队列研究 (2007-2012).
- 利用了儿科健康信息系统 (PHIS+) 的数据,并增加了图表评论.
- 佩尔森基平方测试用于评估结果差异.
主要成果:
- 分析了1723名儿童和3094次分流手术.
- 在患者人口统计和脑水性病理学方面存在显著的医院变化.
- 2012年后,一个明显的趋势出现了:减少了IT抗生素的使用,增加了AIC的采用.
结论:
- 在2012年之后,感染预防策略发生了显著的转变.
- 内抗生素的使用量下降,而用抗生素浸的导管的使用量增加.
- 医院B是一个例外,在整个研究期间保持一致的AIC使用.
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