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土耳其的手术抗微生物预防合规性:来自前性,观察性,多中心调查的数据,包括7978名手术患者

Semiha Çelik Ekinci¹, Ercan Yenilmez¹, Gülfem Akengin Öcal²

¹Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ataşehir, İstanbul, Turkey.

Surgical infections

|April 8, 2024

概括

土耳其的外科抗微生物预防 (SAP) 符合性非常低,只有19%的患者遵守指南. 长时间服用抗生素和出院处方是违规的主要原因.

科学领域:

传染性疾病传染性疾病
手术护理手术护理
药理学药理学是指药理学的学科.

背景情况:

手术抗微生物预防 (SAP) 涉及术前的抗生素给药,以预防手术部位感染.
在全球范围内,SAP的合规率各不相同,先前的土耳其研究表明,合规率低于35%.

研究的目的:

评估土耳其是否遵守SAP指南,重点关注抗生素类别,时间,持续时间和释放处方.
为了确定各个土耳其医院的SAP程序的整体完全合规率.

主要方法:

这是一项多中心,前性,观察性研究,涉及土耳其47家医院的7646名患者.
数据收集发生在2022年6月6日至10日之间,分析了抗生素选择,服用时间和预防持续时间.

主要成果:

塞法索林是最常用的SAP抗生素 (61.5%),大多数管理发生在手术前60分钟内.
在50.7%的患者中,SAP持续时间小于24小时;然而,21.7%的患者一直在预防,直到出院.
总体而言,SAP遵守率为19%,受到58.3%的患者在出院时接受口服抗生素的影响.

结论:

在土耳其,手术抗微生物预防的合规率仍然令人担忧地低.
导致不遵守的关键因素包括长时间的SAP持续时间和出院时抗生素处方的高发病率.

关键词:

抗生素耐药性抗生素耐药性抗微生物药物管理管理 SAP的合规率是SAP的合规率.在外科手术期间的护理.手术抗微生物预防手术.

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