在长期护理设施中对抗菌素使用的监测:抗菌素映射调查
Dorsa Maher1, Janet K Sluggett2, Julian Soriano3
1National Antimicrobial Utilisation Surveillance Program, SA Health, Adelaide, South Australia, Australia.
Journal of the American Medical Directors Association
|July 11, 2024
概括
澳大利亚住院养老机构 (RACFs) 的抗菌药物管理是复杂的,涉及多个处方者和各种各样的文档系统. 需要在药物管理和临床治理方面进行改进,以改善监测.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 住宅老年护理设施 (RACFs) 是管理感染和抗菌素使用的关键环境.
- 有效的抗微生物药物管理对于打击耐药性和改善RACF中的居民结果至关重要.
研究的目的:
- 探索澳大利亚RACF中的多方面的抗菌管理流程.
- 确定在抗微生物药物处方,供应,管理和文档方面需要改进的领域,以加强监督.
主要方法:
- 在南澳大利亚RACF中进行了一项自愿的在线横截面调查.
- 从感染预防和控制领导,护士或药剂师那里收集了关于临床和药物管理系统的数据.
主要成果:
- 大多数RACF使用电子或混合临床文档和药物图表系统.
- 抗微生物药物由各种医疗保健提供者处方,由社区药房或医院供应.
- 几乎所有RACF都保持了抗微生物药物的预付库存.
结论:
- 在RACF中,抗菌药物管理是复杂的,特别是在护理过渡期间.
- 临床文档,处方协调和预付款供应治理方面的差距需要注意.
- 解决这些复杂问题将使RACF中的更全面和实时的抗菌监测成为可能.
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