2018年至2022年间法国养老院的抗生素消耗:2018年至2022年法国养老院的抗生素消耗:2018年至2022年法国养老院的抗生素消耗:2022年法国养老院的抗生素消耗:2018年至2022年法国养老院的抗生素消耗:2022年法国
Ségolène Bouges1,2, Amélie Jouzeau3, Florence Lieutier-Colas3
1CPIAS Nouvelle-Aquitaine, CHU de Bordeaux, Bordeaux, France.
Infection control and hospital epidemiology
|February 19, 2024
概括
法国养老院的抗生素使用在2018-2022年期间总体下降,包括COVID-19期间. 然而,增加的广泛抗生素使用和高的阿莫西-克拉夫兰酸消费表明需要继续进行抗菌药物管理.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 在养老院中,抗菌药物管理至关重要,以打击耐药性.
- 监测抗生素消费指导管理工作,并确定需要改进的领域.
研究的目的:
- 分析法国养老院5年 (2018-2022) 抗生素消费趋势.
- 评估COVID-19大流行对这种环境中的抗生素使用的影响.
- 确定抗微生物药物管理计划的优先事项.
主要方法:
- 一项在220个法国养老院和现场药房进行的多中心调查.
- 从药房记录中收集的抗生素消费数据,以每1000个住院日的定义每日剂量来表达.
- 卫生当局推广的抗生素指标的计算以评估处方质量.
主要成果:
- 从2018年到2022年,整体抗生素消费量显著下降,特别是在COVID-19大流行期间.
- 青素是消费量最多的类别 (2022年为61.9%),其次是脑素和宏类-林可萨胺类-链谱素.
- 从2020年开始,观察到阿齐思罗米和广谱抗生素的消费增加;阿莫西西林 - 克拉夫兰酸是消费最多的抗生素.
结论:
- 减少抗生素使用和控制的诺基诺处方与指导方针一致.
- 广泛抗生素的使用增加和高西林 - 克拉夫兰酸的消费突出了针对性抗菌药物管理的领域.
- 对抗生素消费的持续监测对于识别和解决养老院处方优先事项至关重要.
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