在区域瘤中心减少不当和错过的治疗期间的抗生素处方
Muhammad Khursheed Ullah Khan Marwat1, Laila Laila2
1Oncology, Hull University Teaching Hospitals NHS Trust, Hull, GBR.
Cureus
|June 3, 2024
概括
改善对正在接受手术的瘤患者的抗生素处方至关重要. 教育和准则的遵守增加了适当的外科手术期间使用抗生素,降低了感染风险和抗生素耐药性.
科学领域:
- 在瘤学瘤学.
- 预防传染病 预防传染病
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 接受侵入性手术的瘤患者容易感染感染.
- 不适当使用抗生素会增加并发症,抗生素耐药性和医疗费用.
研究的目的:
- 评估质量改进项目的对瘤护理中术前抗生素处方的影响.
- 加强对抗生素管理的机构指导方针的遵守.
主要方法:
- 一个双循环,闭环质量改进项目,使用后期和前性数据.
- 从干预性放射学和胃肠病学程序中收集的数据.
- 干预措施包括教育和指南的加强.
主要成果:
- 最初对抗生素指南的遵守率为93% (6/82名患者不符合).
- 在干预后,坚持改善到96% (1/25患者不合规).
- 观察到的改善没有统计学意义 (p=0.50).
结论:
- 教育干预措施和指导方针的加强显示,在外科手术期间的抗生素处方中出现了积极的趋势.
- 需要持续努力,以进一步改善抗生素管理.
- 优化抗生素的使用提高了患者的安全性,减少了感染,并打击了耐药性.
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