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对住院患者的抗生素处方模式和成本的评估:来自巴勒斯坦的一项研究

Rufayda Dawood Manassrah¹, Rowa Al Ramahi²

¹Faculty of Graduate Studies, Department of Pharmacy, An-Najah National University, Nablus, Palestine.

|May 2, 2024

概括

在巴勒斯坦医院处方抗生素往往是不合理的和昂贵的,有助于抗菌素耐药性. 需要通过教育和管理计划进行改进,以优化抗生素的使用和降低开支.

科学领域:

药理学和传染病的研究
公共卫生公共卫生
医疗保健管理的管理

背景情况:

抗生素耐药性构成了严重的全球健康威胁,主要是由非理性的抗生素使用驱动的.
抗菌素耐药性 (AMR) 是一个重大挑战,需要对处方实践进行评估.

研究的目的:

评估巴勒斯坦西岸两个主要政府医院的抗生素处方模式.
评估这些医疗机构对抗生素处方的相关成本.

主要方法:

一项回顾性队列研究分析了428个住院患者的抗生素处方.
用药物使用指标和当地成本来评估处方和费用.
使用IBM-SPSS版本21进行描述性统计.

主要成果:

处方平均为6.72种药物,其中抗生素占38.9%. 每份处方的平均抗生素数量为2.61.
每份处方的平均抗生素成本为276美元,其中最常见的是 ceftriaxone (52.8%).
处方模式和成本在各医院之间差异很大 (p < 0.001),巴勒斯坦医疗综合体的成本更高.

结论:

在巴勒斯坦公共医院处方抗生素可能是过度和昂贵的.
建议包括教育,遵守指导方针,免疫和管理计划.
腹部内感染是最常见的,而经常使用的是 ceftriaxone.

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