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评估20家韩国长期护理医院的抗菌药物使用情况:呼吁采取行动,促进抗菌药物管理

R Lee¹, S Y Park², J Y Park³

¹Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

The Journal of hospital infection

|August 24, 2024

概括

在韩国长期护理医院 (LCHs) 中使用抗菌剂的适当性较低. 在LCH中建立抗菌药物管理计划对于改善患者的治疗结果和对抗耐药性至关重要.

科学领域:

传染性疾病传染性疾病
公共卫生公共卫生
药理学药理学是指药理学的学科.

背景情况:

抗微生物药物管理对于国家卫生倡议至关重要.
长期护理医院 (LCH) 需要对抗菌素使用进行具体评估.
这项研究重点是针对韩国LCH的抗菌素处方.

研究的目的:

评估韩国LCH中的抗菌素处方模式.
评估这些设施中抗菌素使用的适当性.
确定在抗微生物药物管理方面需要改进的领域.

主要方法:

在韩国20个LCH进行了多中心回顾性研究.
新开处方抗微生物药物的患者的医疗记录是手动收集的.
数据是在2023年7月10日至10月31日期间收集的.

主要成果:

抗微生物药物处方的患病率约为9-10%.
第三代或第四代头类是最常被处方的药物 (31.9%).
仅有37.7%的针对感染的抗微生物药物是合适的,总体而言,在35.2%的患者中使用是适当的.

结论:

在韩国LCH中,适当的抗菌剂使用量显著低.
显著需要在LCH中实施和加强抗微生物管理计划.
这些发现强调了长期护理机构有针对性的干预措施的紧迫性.

关键词:

抗微生物药物管理管理药物处方药物处方药物处方韩国韩国韩国韩国养老院是一个养老院.

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