在小社区医院的医疗保健专业人员中,抗菌药物管理知识,态度和实践
Whitney R Buckel1, Adam L Hersh2, Andy T Pavia2
1Infectious Diseases/Antimicrobial Stewardship Clinical Pharmacist, Department of Pharmacy, Intermountain Medical Center, Murray, Utah.
Hospital pharmacy
|May 15, 2024
概括
在小型和大型社区医院评估了抗菌药物管理知识,态度和实践 (KAP). 虽然意识很高,但小型医院需要更多的资源和教育,以实施有效的抗菌药物管理计划.
科学领域:
- 医疗保健管理的管理
- 传染性疾病 传染性疾病
- 药房实践 在药房实践中
背景情况:
- 与大型社区医院 (LCH) 相比,小社区医院 (SCH) 的抗菌管理 (AMS) 知识,态度和实践 (KAP) 数据有限.
- 了解这些差异对于开发有针对性的干预措施至关重要.
- 抗菌素耐药性和过度使用是全球日益严重的问题,需要有效的管理.
研究的目的:
- 在SCHs和LCHs之间比较传染病 (ID) 临床资源.
- 描述处方者,药剂师和管理人员关于抗菌素管理的KAP.
- 在综合医疗保健网络中,在SCH和LCH之间识别AMS实践中的差异.
主要方法:
- 一个匿名的48项关于抗菌药物管理的调查KAP分发给15个SCH (<200床) 和5个LCH (>200床) 的医疗保健从业人员.
- 受访者包括处方医生,药剂师和管理人员.
- 数据分析比较了SCH和LCH之间的反应.
主要成果:
- 总共完成了588项调查 (198项来自SCH,390项来自LCH).
- 大多数受访者认识到抗微生物药物管理的重要性,并同意过度使用抗微生物药物.
- 与LCH从业者相比,SCH从业者对IDSA指南的熟悉程度较低,对ID专家的依赖程度较低,并且不太可能将抗生素耐药性视为局部问题.
结论:
- SCH和LCH都承认抗微生物药物耐药性和过度使用,支持对抗微生物药物管理计划的需求.
- SCHs需要量身定制的支持,认识到资源可用性和利用率的显著差异,特别是在访问ID专业知识方面.
- 在所有医院环境中都需要加强抗菌教育,以改善管理实践.
更多相关视频
08:58Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
6.4K
12:03Antimicrobial Synergy Testing by the Inkjet Printer-assisted Automated Checkerboard Array and the Manual Time-kill Method
Published on: April 18, 2019
26.2K
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:26Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
01:23Hand hygiene
3.2K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.2K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
01:08Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
01:18Surface Membrane Barriers
1.1K
The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
1.1K