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通过利用药房工作人员和临床监测平台,将快速诊断测试数据传递到合适的人手中:来自美国社区医院的案例研究

Jeremy Frens¹, Tyler Baumeister², Emily Sinclair¹

¹Department of Pharmacy, Cone Health, 1200 North Elm Street, Greensboro, NC, USA.

The Journal of antimicrobial chemotherapy

|September 19, 2024

概括

快速诊断测试 (RDT) 与抗微生物管理团队 (AST) 和临床监测平台 (CSP) 结合,显著减少了血液感染 (BSI) 适当治疗的时间. 这种整合简化了结果的沟通,改善了患者的治疗结果.

科学领域:

临床微生物学和传染病.
卫生信息学和技术实施
抗微生物药物管理和感染控制

背景情况:

血流感染 (BSI) 需要快速准确的诊断才能有效治疗.
识别病原体和指导抗微生物治疗的传统方法可能耗时.
将快速诊断测试 (RDT) 与临床支持系统相结合,有可能改善患者护理.

研究的目的:

详细说明用于BSI的RTD结果的实施和优化.
评估将研发和开发技术与实时抗微生物管理团队 (AST) 支持和临床监测平台 (CSP) 软件相结合的影响.
评估BSI患者适当治疗时间的影响.

主要方法:

使用了多期研究设计,包括BioFire® FilmArray® 血液培养识别 (BCID) 面板的实施前,实施和实施后阶段.
通过CSP实时结果通知和治疗算法的开发是关键组成部分.
在BCID2小组实施期间,专门分析了适当治疗指标的时间.

主要成果:

从BCID2小组结果到有效抗生素的平均时间是1.2小时.
在BCID2小组实施期间,达到最佳治疗的时间平均为7.6小时.
与之前的BCID小组相比,BCID2小组显著减少了对抗塞夫特里亚克松耐药肠道细菌的最佳抗生素给药时间 (2.8小时与17.7小时相比).

结论:

对知识博的医疗人员有效地传达 RDT 结果对于及时,有针对性的治疗至关重要.
实施了电话通信和CSP支持,以促进RDT数据的分发.
这些程序可以及时优化医疗系统内的BSI抗菌疗法.

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