不仅仅是一个反常语:实用主义者的指南,用于移植传染病中的抗菌管理
Chelsea A Gorsline1, Divisha Sharma2, Courtney E Harris3
1University of Kansas Medical Center, Kansas City, Kansas, USA.
概括
对于移植患者来说,抗微生物管理计划 (ASP) 对于对抗多药耐药生物 (MDROs) 来说至关重要. ASP和移植团队之间的合作是减少感染风险和改善患者结果的关键.
科学领域:
- 传染性疾病 传染性疾病
- 移植医学 移植医学 移植医学
- 抗微生物药物管理委员会
背景情况:
- 移植接收者免疫受损,增加了对感染和多药耐药生物体 (MDROs) 的敏感性.
- 这些患者的高抗生素暴露进一步增加了MDRO风险.
- 抗生素管理计划 (ASP) 对于优化抗生素使用和减少MDROs至关重要.
研究的目的:
- 审查在移植传染病 (TID) 中实施ASP的基本组成部分.
- 为建立或扩展ASP以包括TID的计划提供指导.
- 促进ASP与移植计划之间的合作,以改善患者护理.
主要方法:
- 在TID.中对ASP实施的关键组件的审查.
- 讨论具体目标,结构,资金和倡议.
- 强调抗生素过敏脱标,诊断管理和抗病毒/抗真菌管理.
主要成果:
- ASP与移植计划之间的合作正在发展,但至关重要.
- 有效的ASP实施可以减轻感染风险并降低相关成本.
- 在TID中对ASP的结构化方法是必要的,以获得最佳的结果.
结论:
- 在TID中实施强大的ASP对于管理移植患者感染至关重要.
- 需要加强合作和有针对性的管辖举措.
- 本综述为在TID环境中开发和发展ASP提供了一个框架.
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