记录抗微生物药物处方的适用性:长期护理院的回顾性观察性研究
Kayuri Champaneria1, Bradley J Langford2,3,4, Jean-Paul Allen5
1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
Journal of the American Geriatrics Society
|January 24, 2024
概括
在长期护理院中,抗生素指示文档较少,仅有22.9%的处方文档. 改进这些文档对于抗菌药物管理和这些设施的居民安全至关重要.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在长期护理 (LTC) 家庭中过度使用抗菌剂对居民构成风险.
- 在LTC环境中,有效的抗微生物管理干预措施是必不可少的.
- 记录抗菌药物指示是改善使用的关键策略,但在LTC方面的证据有限.
研究的目的:
- 评估LTC家庭抗生素指示文档的流行率和清晰度.
- 检查指示文档中的设施级变化.
- 确定改善抗微生物药物处方实践的机会.
主要方法:
- 在加拿大安大略省的218个LTC家庭中对口服抗生素处方的观察性回顾性研究 (2021-2022).
- 检查了指示文档,并根据国家抗菌素处方调查 (NAPS) 标准评估了清晰度.
- 用于评估流行率,清晰度和家庭级别变异性的描述性分析和漏斗图.
主要成果:
- 只有22.9%的抗生素处方有记录的说明.
- 在记录的迹象中,有37%是明确的.
- 在各个家庭之间观察到指示患病率 (46.3%的家庭超出控制范围),但清晰度的变化很小 (8.7%的家庭超出控制范围).
结论:
- 存在显著的机会,以提高抗生素指示文档在LTC家庭的流行率和清晰度.
- 未来的研究应该探索支持文档的方法,考虑工作流程和共同指示.
- 改进文档对于优化抗菌剂使用和在LTC环境中优化住院护理至关重要.
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