药房驱动的培养回调协议对抗微生物治疗优化在急诊室的影响
Journal of the American Pharmacists Association : JAPhA
|March 21, 2024
概括
一个药房驱动的培养回调协议改善了急诊室患者的抗菌疗法,这些患者的尿液和性传播感染文化呈阳性. 这项质量改善计划优化了患者护理和安全结果.
科学领域:
- 传染性疾病 传染性疾病
- 抗微生物药物管理委员会
- 医疗保健服务研究 医疗服务研究
背景情况:
- 从急诊室 (ED) 患者的积极培养的有效管理对于患者的安全至关重要.
- 在出院后优化抗菌药物治疗是优质护理的关键组成部分.
研究的目的:
- 为了评估标准化,药房驱动的培养回调协议的有效性.
- 评估对抗微生物药物治疗优化对ED患者尿液,血液或性传播感染 (STI) 培养的积极影响.
主要方法:
- 一个单一的,质量改进项目在急性护理ED中进行.
- 包括出院后尿液,血液或STI培养物呈阳性的患者.
- 主要结局:回调后接受最佳治疗的患者百分比.
主要成果:
- 在干预后组,最佳治疗显著增加 (49%对33%,P=0.021).
- 合并的最佳和适当治疗也显示出显著的增加 (78%对60%,P=0.006).
- 复诊或入院没有显著差异;护士和提供者节省了显著的时间.
结论:
- 一个药房驱动的培养回调协议成功增强了尿路和性传播感染的最佳抗菌疗法.
- 该协议代表了改善ED患者护理和抗菌药物管理的宝贵策略.
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