墨西哥私人医疗保健系统中的抗菌管理计划:对核心元素的自我评估
José Iván Castillo Bejarano1, Dzoara Laura Lugo Ondarza2, Juan O Galindo Galindo3
1Hospital Epidemiological and Surveillance Unit, Christus Muguerza Alta Especialidad, Monterrey, 64060, ZC, México.
BMC infectious diseases
|November 7, 2024
概括
这项研究评估了12家墨西哥医院的抗菌药物管理计划 (ASP),发现许多患者的发展得分很低. 国家实施ASP对于打击抗微生物药物耐药性至关重要.
科学领域:
- 医疗保健管理的管理
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 抗微生物药物管理计划 (ASP) 对于改善护理和打击抗微生物药物耐药性至关重要.
- 关于墨西哥ASP当前状况的数据有限.
- 本研究通过评估墨西哥医疗保健系统中的ASP来解决知识差距.
研究的目的:
- 描述12家医院的抗菌药物管理计划 (ASP) 的现状和发展水平.
- 确定现有ASP的优势和弱点的关键领域.
- 为墨西哥未来的ASP发展提供基线数据.
主要方法:
- 在12家医院进行了一项横截面研究.
- 用一个包含7个标准和23个项目的自我评估工具来计算ASP开发分数.
- 医院根据病床数量 (>40个病床,≤40个病床) 分类进行比较分析.
主要成果:
- 总体ASP发展得分的中位数为32.3%,表明发展水平普遍较低.
- 超过40张床位的医院通常获得更高的ASP发展分数.
- "教育和培训"和"报告和反"元素的得分最低,而"感染预防和控制"的得分最高.
结论:
- 这项多中心评估显示,墨西哥有很大比例的医院有欠发达的ASP.
- 迫切需要针对ASP的国家实施战略,以有效打击抗菌素耐药性.
- 调查结果突出了需要针对性干预和支持ASP增强的具体领域.
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