加纳开普海岸教学医院的抗生素管理能力和抗生素利用实践:一项点流行调查研究
Elizabeth Agyare1, Joseph Elikem Efui Acolatse2, Mavis Puopelle Dakorah3
1Clinical Microbiology, Cape Coast Teaching Hospital, Cape Coast, Central Region, Ghana.
PloS one
|January 25, 2024
概括
在开普海岸教学医院观察到高抗生素使用率,处方和文档记录实践不足最佳. 需要采取干预措施来改善抗生素管理,减少抗菌素耐药性风险.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医院 医院 药房 医院药房
背景情况:
- 抗生素耐药性 (AMR) 是一个关键的全球健康挑战,需要加强抗生素管理.
- 医院是监测和改进抗生素处方模式以打击AMR的关键环境.
研究的目的:
- 评估抗生素处方模式,并确定开普海岸教学医院质量改善的领域.
- 评估遵守与抗生素使用相关的指导方针和文档实践.
主要方法:
- 利用世界卫生组织的点患病率调查方法.
- 对所有入院患者的抗生素处方的核心变量收集数据.
主要成果:
- 抗生素使用率高 (78.8%),其中大多数在成年外科病房.
- 预防性使用是常见的,经常偏离建议的持续时间和低标准 (25%).
- 对治疗的合理性和基于敏感性测试的有限的向治疗的适度文档.
结论:
- 严重过度使用抗生素需要有针对性的干预措施,包括制定手术预防指南.
- 解决组织缺陷和实施当地处方协议对于建立有效的抗生素管理计划 (ASP) 至关重要.
- 研究结果强调了加纳和整个非洲需要改善抗生素管理的必要性.
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