基准评估报告对平衡感染预防和抗菌药物管理在患有复杂尾炎的儿童中的有用性
Shannon L Cramm1, Dionne A Graham2, Martin L Blakely3
1Department of Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Annals of surgery
|February 22, 2024
概括
基准评估报告显示,儿科复杂尾炎护理的显著差异. 这项研究强调了医院通过确定最佳实践来改善感染预防和抗生素管理的机会.
科学领域:
- 儿科外科手术 儿科外科手术
- 传染病 传染病 传染病 传染病
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 对于儿科复杂尾炎护理的基准测试数据有限.
- 医院需要工具来识别和优先考虑感染预防和抗微生物药物管理工作.
研究的目的:
- 制定一个严重程度调整的,医院级对手术后器官空间感染 (OSI) 和复杂尾炎儿童抗生素使用的基准测试报告.
- 为了比较各医院的表现,并确定异常值.
主要方法:
- 使用国家外科质量改善计划-儿科数据 (16家医院) 的多中心队列研究.
- 包括经过尾切除的复杂尾炎儿童 (2015年7月至2020年6月).
- 使用观察到预期 (O/E) 的比率,根据严重程度进行调整,比较30天的OSI率和抗生素使用.
主要成果:
- 包括1790名患者;整体OSI率为15.6% (范围为2.6%-39.4%).
- 平均抗生素使用时间为9.0天 (范围为3.0-13.0天).
- 对OSI (5.7倍) 和抗生素使用 (2.4倍) 的调整O/E比率的医院显著变化;63%的医院至少在一个测量中是异常值.
结论:
- 一份比较性绩效基准报告可以指导医院改善感染预防和抗菌药物管理的质量.
- 确定高绩效的医院,以传播最佳实践.
- 促进有针对性的干预措施,以减少OSI和优化抗生素利用.
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