在急诊室使用亲肠道抗生素:实践模式和阶级一致性
Megan Elli1, Timothy Molinarolo1,2, Aidan Mullan3
1Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
第一次剂量静脉注射 (IV) 抗生素通常在口服处方之前在急诊室 (ED) 给予,在出院时经常发生类别变化. 这种做法影响了抗生素管理,停留时间和成本,提供了干预机会.
科学领域:
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
- 医疗保健管理的管理
背景情况:
- 抗生素管理对于打击抗菌素耐药性至关重要.
- 目前的急诊室 (ED) 实践与抗生素的管理和释放协议需要评估.
- 了解处方模式可以优化患者护理和资源利用.
研究的目的:
- 在ED患者中量化第一剂静脉注射 (IV) 与口服抗生素的使用情况.
- 评估从ED出院的患者抗生素类别变化的频率.
- 评估对停留时间 (LOS) 的影响,并确定改善抗生素管理的领域.
主要方法:
- 中西部医疗保健系统中感染ED访问的回顾性队列研究 (2018年6月至2021年12月).
- 包括有关感染类型,抗生素类别和途径,LOS,复诊,临床医生类型和人口统计数据的数据.
- 收集数据的描述性统计分析.
主要成果:
- 在77,204次因感染的ED诊所中,有3,812人接受了静脉注射抗生素.
- 接受静脉注射抗生素的患者中有34.3%的患者使用不同的抗生素类别出院.
- 接受IV抗生素的患者的ED LOS显著更长 (平均差异为102分钟).
结论:
- 给予第一剂IV抗生素,然后在出院后给予不同的口服类是常见的ED实践.
- 这种做法为加强抗生素管理,降低成本和缩短LOS提供了机会.
- 针对ED抗生素处方模式的干预措施可以改善患者的治疗结果和医疗保健效率.
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