在接受万科米辛用于手术预防的患者中评估β-乳糖过敏的实用性
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Kendall J Tucker1, YoungYoon Ham2, Haley K Holmer3
1Department of Pharmacy Practice, College of Pharmacy, Oregon State University, United States.
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|June 25, 2024
概括
患有β-乳酸过敏的患者经常接受万科米辛进行手术预防,但许多人有资格获得一线β-乳酸抗生素. 改进过敏评估可以优化抗微生物药物管理.
科学领域:
- 传染性疾病 传染性疾病
- 临床药房 临床药房
- 手术预防手术预防.
背景情况:
- 贝塔乳酸抗生素是手术预防的标准.
- 据报道,患有β-乳酸过敏的患者经常接受万科米辛治疗,尽管其与青素和头素的交叉反应性较低.
- 这种做法旨在防止过敏反应.
研究的目的:
- 为了评估因报告的β-lactam过敏而接受万科米辛手术预防的成年患者.
- 为了确定他们是否有资格接受青素过敏测试或标准β-lactam预防.
- 确定抗微生物管理干预措施的机会.
主要方法:
- 从2017年8月到2018年7月对成年患者的回顾性评估.
- 纳入标准:凡科米辛用于手术预防,有报道的β-乳酸过敏.
- 对beta-lactam预防或过敏测试的资格分析.
主要成果:
- 830名患者接受了万科米; 196人报告了β-乳酸过敏.
- 骨科手术占了大约40%的病例.
- 189名 (96.4%) 接受万科米辛作为第一线治疗的患者有资格接受β-lactam预防.
结论:
- 许多患有β-乳酸过敏的患者是第一线抗生素预防的合适候选人.
- 加强过敏评估对于在手术环境中有效的抗微生物药物管理至关重要.
- 优化抗生素选择可以改善患者护理,减少不必要的万科米辛使用.
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