对膜炎暴露新生儿的抗生素管理,质量改进项目
Jacquelyn Em Grev1,2, Mallary Van Tol2, Brooke Welker2
1University of South Dakota Sanford School of Medicine.
概括
实施早期发作的败血症 (EOS) 计算器在暴露于胆膜炎的婴儿中安全地减少了抗生素的使用和持续时间. 这项质量改善计划降低了抗生素暴露,但没有错过任何EOS病例.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 提高质量 提高科学 提高质量
背景情况:
- 新生儿早期发作的败血症 (EOS) 在期婴儿的发病率已经下降.
- 2018年AAP指南允许在怀孕35周以上的婴儿中对经验性抗生素进行风险评估,包括那些暴露于胆肌炎的婴儿.
研究的目的:
- 为暴露于胆 ?? 膜炎的婴儿实施EOS计算器.
- 为了安全地减少新生儿群体对抗生素的暴露.
主要方法:
- 一个质量改进项目利用了多个计划-做-研究-行动 (PDSA) 周期.
- 收集的数据包括抗生素使用,实验室测试,停留时间和安全指标.
主要成果:
- 暴露在抗生素中的新生儿暴露在胆 ?? 膜炎中的抗生素暴露率从100%降低到75%.
- 平均抗生素持续时间从68小时减少到40小时.
- 长时间的抗生素疗程,腰部刺穿,停留时间和实验室测试减少;没有遗漏培养确认的EOS病例.
结论:
- 质量改善倡议有效地实施基于证据的工具.
- 这些举措可以安全和适当地减少新生儿对抗生素的暴露.
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