在阿拉伯联合长国的COVID-19大流行之前和期间,人类白蛋白溶液的利用模式:是时候制定和实施关于处方和利用的国家指南了
Mohammed Sallam1, Johan Snygg2,3
1Department of Pharmacy, Mediclinic Welcare Hospital, Mediclinic Middle East, Dubai, United Arab Emirates.
Narra J
|March 7, 2024
概括
人类白蛋白溶液 (HAS) 的使用在COVID-19期间显著增加,尽管有指导方针,但没有明显的临床益处. 这项研究强调了需要更严格的协议来合理化HAS管理和降低成本.
科学领域:
- 临床药房 临床药房
- 医疗保健管理的管理
背景情况:
- 人类白蛋白溶液 (HAS) 具有特定的临床适用性,但容易导致不适当和昂贵的使用.
- 建立HAS使用的实用协议对于成本效益和患者护理至关重要.
研究的目的:
- 在COVID-19大流行之前和期间分析迪拜医院HAS利用模式.
- 评估HAS规范策略的适当性,并确定需要改进的领域.
主要方法:
- 在Mediclinic Welcare医院对20%的HAS进行了回顾性数据收集 (2019年1月 - 2021年5月).
- 包括579名患者入院,分析初级诊断和使用量.
- 在COVID-19和COVID-19前阶段之间的HAS利用率和临床指示百分比的比较.
主要成果:
- 临床上表明的20%的HAS管理从COVID-19前的13.0%下降到大流行期间的1.5% (p<0.001).
- 不基于证据的HAS管理的增加与阿联COVID-19病例的增加有关.
- 在COVID-19期间HAS管理的显著增加缺乏支持的临床证据.
结论:
- 在COVID-19期间,HAS使用量大幅增加,但没有记录的临床益处.
- 建议完善机构指导方针,进行审计和实施教育干预措施,以优化HAS使用.
- 改进的HAS管理指南可以减轻与不适当使用相关的成本.
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