伤口抽样培养的异常报告方法:对报告后抗生素启动的影响
Max Bloomfield1,2,3, Koen van der Werff1, Sue Todd3,4
1Department of Microbiology, Awanui Laboratories Wellington, Wellington, New Zealand.
Journal of clinical microbiology
|May 24, 2024
概括
实施伤口抹布培养的异常报告协议显著减少了不必要的抗生素处方. 伤口抹布培养 (WSC) 报告实践的这种变化导致报告后抗生素启动 (PRAI) 的减少.
科学领域:
- 临床微生物学 临床微生物学
- 抗微生物药物管理委员会
- 提高质量 提高质量
背景情况:
- 伤口抹布培养 (WSC) 经常在临床微生物学中进行.
- 以前的分析表明,WSC结果可能导致不必要的抗生素使用.
- 为了解决这个问题,实施了一个异常报告协议.
研究的目的:
- 评估异常报告协议对报告后抗生素启动 (PRAI) 的影响.
- 确定修改后的WSC报告是否减少了不必要的抗生素处方.
主要方法:
- 一项质量改进倡议于2023年3月1日引入了WSC的异常报告协议.
- 典型的伤口病原体对标准实证疗法敏感,除非要求,否则没有报告.
- WSC的结果与2021年10月至2023年12月的抗生素发行记录联系在一起.
主要成果:
- 在变更后的期间,例外报告协议适用于53.3%的符合条件的WSC.
- 报告后的抗生素启动率 (PRAI) 从49.5%降至25.1% (P < 0.01) 除了例外报告.
- 没有观察到住院治疗或重复WSC采集的显著增加.
结论:
- 对WSC的异常报告与抗生素启动的实质性减少有关.
- 伤口病原体的标准报告可能会导致不必要的抗生素处方.
- 更广泛地采用这种报告策略可以加强社区的抗菌药物管理.
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