在美国的门诊亲肠道抗微生物治疗计划中,抗微生物管理实践
Sara F Azimi1, Esther Golnabi2, Ryan P Mynatt3
1Department of Pharmacy, University of New Mexico Hospitals, Albuquerque, New Mexico, USA.
Open forum infectious diseases
|July 10, 2024
概括
门诊亲肠道抗微生物治疗 (OPAT) 计划往往缺乏用于抗微生物管理 (AMS) 的资源和数据分析. 许多项目实施AMS协议和跟踪指标,但在满足联合委员会标准方面面临挑战.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 门诊亲肠道抗微生物治疗 (OPAT) 优先考虑易于施用,耐受性,安全性和可访问性,而不是狭窄谱剂.
- 对OPAT计划来说,抗微生物药物管理 (AMS) 计划对于优化抗微生物药物使用至关重要.
- 本研究检查了美国OPAT计划中的AMS实践,以与联合委员会门诊AMS标准保持一致.
研究的目的:
- 描述美国门诊亲肠道抗微生物治疗 (OPAT) 计划中当前的抗微生物管理 (AMS) 实践.
- 确定OPAT项目所使用的特定的AMS举措,指标和资源.
- 为寻求满足联合委员会门诊AMS要求的OPAT计划提供见解.
主要方法:
- 一个横截面电子调查被分发给Vizient AMS网络.
- 该调查包括多达95个问题,涵盖OPAT计划的人口统计,结构,AMS举措,指标和资源.
- 分析了74个响应,其中58个机构报告了OPAT服务.
主要成果:
- 91%的OPAT程序至少有一个AMS协议,74%跟踪至少一个指标.
- 只有40%的节目报告了OPAT相关服务的计费.
- 确定了重要的资源需求,包括数据分析 (69%),资金 (67%) 和药剂师 (62%).
结论:
- 该调查提供了美国OPAT计划当前AMS实践的全面概述.
- 结果突出了其他计划可以采用的共同的AMS举措和指标.
- 解决发现的资源缺口,特别是在数据分析和资金方面,对于推进OPAT AMS和满足监管标准至关重要.
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