住院老年护理抗生素图如何与其他本地耐药性数据相比呢?
Dipti Khatri1, Nazanin Falconer2, Sonali Coulter3
1UQ Centre for Health Service Research (CHSR), Faculty of Medicine, The University of Queensland, Woolloongabba, Queensland, Australia.
American journal of infection control
|December 13, 2024
概括
住宅老年护理设施 (RACF) 抗生素图可以使用私人病理学数据进行近似估计,以帮助抗生素处方. 医院数据的比较给RACF耐药性模式带来了不同的结果.
科学领域:
- 传染性疾病 传染性疾病
- 老年医学 老年医学
- 抗微生物药物管理委员会
背景情况:
- 抗生素测试对优化抗生素处方至关重要,但通常无法用于住宅老年护理设施 (RACF).
- 这项研究解决了昆士兰州,澳大利亚RACF的可访问抵抗模式数据的需求.
研究的目的:
- 确定替代数据源是否可以近似RACF中的抗生素耐药性模式.
- 评估私人病理学数据和复合RACF数据作为RACF抗生素图谱的代理的实用性.
主要方法:
- 比较了来自病理学提供商的当地医院抗生素图和RACF特定的年度抗生素图.
- 将地理分组RACF数据的复合抗生素图与区域医院和私人病理学RACF抗生素图进行比较.
- 使用费舍尔精确测试分析了常见细菌 (大肠杆菌,肺炎肺炎,脸,P. aeruginosa,金黄色) 的抗生素敏感率,并按百分比相似性描述了一致性.
主要成果:
- 复合RACF抗生素图显示高一致性 (83%-100%相似性) 与关键病原体-抗生素对的私人病理RACF数据.
- 与所有年龄和老年人群的当地医院数据相比,个别的RACF抗生素图表表表现出可变相似性 (50%-100%).
结论:
- 私人病理学RACF抗生素图可以有效地作为RACF中耐药性模式的代理.
- 与医院数据的比较提供了关于耐药性模式的不一致发现.
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