针对澳大利亚的住宅老年护理设施开发抗生素.
Dipti Khatri1, Nazanin Falconer2, Sonali Coulter3
1UQ Centre for Health Service Research (CHSR), Faculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia.
Infection control and hospital epidemiology
|September 26, 2024
概括
开发用于住宅老年护理设施 (RACF) 的抗生素图表是可行的,使用扩展的3年数据或来自附近设施的聚合数据. 这为更好的实证抗生素处方提供了至关重要的局部抗生素耐药性见解.
科学领域:
- 传染性疾病 传染性疾病
- 抗微生物耐药性 抗微生物耐药性
- 医疗卫生流行病学 医疗卫生流行病学
背景情况:
- 抗生素图表对于指导实证抗生素选择至关重要.
- 住宅老年护理设施 (RACF) 需要当地抗生素耐药性数据.
- 由于数据有限,开发特定设施的抗生素图表存在挑战.
研究的目的:
- 评估为RACFs创建抗菌谱的可行性.
- 探索改善RACF中的抗生素表开发的方法.
主要方法:
- 来自澳大利亚昆士兰州九个RACF的培养和敏感性数据的回顾性观察研究 (2020-2022).
- 根据CLSI-M39指南使用WHONET软件分析数据.
- 探索延长时间段,并从地理上相似的RACF中汇集数据.
主要成果:
- 由于培养数量低 (<30),单个RACF无法进行年度抗生素图.
- 将时间延长到三年,提高了对大肠杆菌和金黄色杆菌的抗生素检查可行性.
- 在结合来自靠近的RACF的数据时,汇集年度抗生素图表是可行的.
结论:
- 延长时间的抗生素图提供了RACF特有的尿道和皮肤/软组织耐药性数据.
- 聚合综合征抗生素图可以每年生成,这可能是首选的选择.
- 在没有私人病理学提供者的投入的情况下,可以开发RACF特定的抗生素图.
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