当抗微生物治疗和外科预防碰撞时:一个管理机会
Priscila Fiallo1, Timothy Williams1, Larry M Bush1,2,3
1Department of Medicine, Wellington Regional Medical Center, Wellington, FL, USA.
Hospital pharmacy
|June 26, 2024
概括
许多患者接受冗余的手术前抗生素,增加了抗菌素耐药性的风险. 这项研究量化了这一问题,突出了改善医院抗生素管理计划的机会.
科学领域:
- 传染性疾病 传染性疾病
- 医院管理局 医院管理局
- 药理学 药理学是指药理学的学科.
背景情况:
- 已建立的质量改进项目,如手术感染预防 (SIP) 和手术护理改进项目 (SCIP),旨在减少手术部位感染 (SSI).
- 这些项目强调适当使用手术前预防性抗生素,并遵循ASHP和IDSA等组织的指导方针.
- 医院向医生质量报告系统报告数据,以进行质量评估和报销,需要遵守抗生素协议.
研究的目的:
- 量化手术患者在手术前多余使用抗生素的发生率.
- 确定与不必要的抗生素管理相关的风险,包括抗菌素耐药性和不良事件.
- 提供支持加强医院抗菌药物管理计划的数据.
主要方法:
- 对2022年11月的计算机化医院记录进行了回顾性分析.
- 该研究包括了接受手术并接受手术前预防性抗生素的患者.
- 数据集中在已经接受治疗性抗生素治疗需要手术的患者身上.
主要成果:
- 在符合纳入标准的92项手术中,38项 (41.3%) 涉及已经服用治疗抗生素超过24小时的患者.
- 这种冗余性在腹腔镜胆囊切除术,尾切除术,伤口脱,软组织切割和排水等手术中观察到.
- 在研究期间,冗余抗生素使用占这些特定手术程序的近50%.
结论:
- 显著的机会存在于医院加强抗菌药物管理计划.
- 医生教育和授权药房取消不必要的预防性抗生素可以减少冗余.
- 解决抗生素冗余问题对于打击抗菌素耐药性和提高患者安全至关重要.
相关概念视频
Healthcare 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
Standard 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
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy
355
Helicobacter pylori, a resilient gram-negative bacterium, can thrive in the stomach's harsh, acidic environment. Infection with H. pylori leads to a cascade of events within the stomach lining. One of the critical disruptions caused by this bacterium is the interference with somatostatin production, a hormone responsible for regulating acid secretion. This interference tips the balance, escalating acid secretion and diminishing bicarbonate levels. This imbalance compromises the defensive...
355
Hand 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
Peptic Ulcer Disease IV: Management
87
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
87
Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K


