尿路感染指南的遵守在荷兰哨兵养老院监视网络监视网络
Gary Y C Yeung1, Martin Smalbrugge1, Laura W van Buul1
1Department of Medicine for Older People, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Aging & Later Life, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
概括
在脆弱的老年人中,对于尿路感染 (UTI) 的指导方针的遵守仍然不够理想. 在诊断测试和抗生素处方方面需要改进,特别是考虑到临床症状和症状.
科学领域:
- 老年医学 老年医学
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 在脆弱的老年人中引入了尿路感染 (UTI) 的国家指南.
- 评估指导方针的遵守对于优化这种脆弱人群的护理至关重要.
研究的目的:
- 在实施后三年评估遵守国家UTI指南的情况.
- 检查尿液测量棒测试的适当使用情况,治疗决策,以及在没有导管的脆弱老年人中怀疑尿路感染的抗生素选择.
主要方法:
- 在荷兰的19个养老院进行了一项观察前性研究.
- 在3个月的时间里,从业人员记录了疑似尿路感染的临床数据.
- 根据记录的信息来评估遵守,将不遵守归类为故意或其他.
主要成果:
- 86%的疑似尿道感染使用了测量棒,85%的临床症状不需要治疗时不适当地订购.
- 在69%的病例中,抗生素处方决定是合规的,另有25%被归类为不合规.
- 坚持推的抗生素类型有所不同 (88%用于囊炎,48%用于侵入性尿路感染);总体坚持所有建议的比例为40%.
结论:
- 在荷兰养老院管理疑似尿道感染方面需要显著改进.
- 强调临床症状和症状对于适当的测量棒使用和抗生素治疗决策至关重要.
- 需要有针对性的干预措施,以加强在这个患者群体中遵守指南.
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