在大学医院急诊室逐步实施的多学科抗菌药物管理计划的效果和可持续性
Lukas Arenz1,2, Annika Porger1, Michaela De Michel1
1Antibiotic Stewardship Programme, University Hospital, LMU Munich, Marchioninistraße 15, 81377 München, Germany.
JAC-antimicrobial resistance
|February 27, 2024
概括
在急诊部 (ED) 实施抗菌药物管理 (AMS) 准则可以提高遵守. 每天的AMS病房检查对于持续遵守指南和减少抗生素使用至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 医院管理局 医院管理局
- 公共卫生 公共卫生
背景情况:
- 抗微生物耐药性需要有效的抗微生物管理 (AMS) 计划.
- 准则的遵守和抗生素的消耗需要在医院环境中进行持续评估.
研究的目的:
- 评估治疗指南的有效性和可持续性以及急诊室 (ED) 中的AMS病房巡回.
- 评估随着时间的推移对准则遵守和抗生素消费的影响.
主要方法:
- 在一所大学医院对2017-2021年的数据进行了回顾性分析.
- 四个时期的比较:预干预,指南分配,重新评估和刷新与AMS病房巡回.
- 主要结局:遵守社区获得的肺炎,囊炎,肌炎和COVID-19相关的细菌性肺炎的指南.
主要成果:
- 在指南分配后,指南的遵守率最初增加,并在每日AMS病房巡回 (47%至72.5%) 后进一步改善.
- 与干预前水平相比,遵守率仍然很高,即使在下降之后.
- 在工作日,周末和夜班期间,观察到坚持的显著增加.
结论:
- 制定ED治疗指南对于改善抗菌药物管理是有效的.
- 持续的积极影响需要持续的干预措施,例如每日AMS病房巡查.
- AMS病房巡回显著提高了指导方针的遵守,并支持适当的抗生素使用.
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