在一个大型综合卫生系统内的五个门诊机构中,抗菌素处方的变化
Alex D Taylor1, Kaitlyn R Rivard2, Andrea M Pallotta2
1Department of Pharmacy, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
门诊护理机构的抗生素处方率与全国平均水平相似. 处方的变化突出了针对性抗生素管理计划的机会,以改善抗菌药物的使用.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对及时使用抗生素数据的获取有限,阻碍了门诊抗生素管理.
- 抗生素使用量跟踪在各种门诊机构和急诊室至关重要.
- 综合卫生系统为全面的抗生素使用分析提供了一个平台.
研究的目的:
- 分析常见的门诊感染中的抗生素处方模式.
- 为了比较不同门诊护理场所的抗生素使用情况.
- 确定抗微生物管理干预措施的机会.
主要方法:
- 针对囊炎,中耳炎,喉炎,鼻炎和URTI的抗生素处方的回顾性队列分析.
- 从2019年6月到2020年5月收集的数据来自五个护理部门:ED,UC,TEL,PED和PC.
- 在不同的护理环境中比较抗生素处方率和指南一致性.
主要成果:
- 分析了超过261,000次接触,44%的病例处方了抗生素.
- 与指南一致的抗生素处方因环境而异,从PC的51%到TEL的84%不等.
- 处方率与国家门诊护理基准可比.
结论:
- 这个卫生系统的抗生素处方模式与国家趋势保持一致.
- 处方的显著变化表明有针对性的门诊管理的潜力.
- 及时实施抗生素跟踪工具可以增强门诊抗菌药物管理工作.
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