对于门诊患者肌内抗生素治疗的坚持即时通讯:概念证明
Joel Isai Alcala-Gonzalez1, Adrian Camacho-Ortiz2, Marco Antonio Hernandez-Guedea3
1Department of Internal Medicine, School of Medicine, University Hospital Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Journal of infection in developing countries
|December 18, 2024
概括
通过WhatsApp即时通讯改善了门诊抗生素治疗的坚持,并将医院费用降低了38.3%. 这种用户友好,低成本的模型增强了监测和患者的结果,特别是在资源有限的环境中.
科学领域:
- 传染性疾病 传染性疾病
- 医疗信息学 医疗信息学
- 药物经济学 药物经济学
背景情况:
- 门诊抗菌药物治疗需要监督,这可能是具有挑战性的.
- 通信技术的进步为远程患者监控提供了潜在的解决方案.
- 即时通讯平台为改善门诊护理提供了一种新的方法.
研究的目的:
- 评估即时消息的有效性,以追踪门诊肌内抗生素治疗中的坚持,成本,有效性和不良事件.
- 评估一种用户友好,低成本的沟通模式在改善患者治疗结果方面的潜力.
- 确定使用即时通讯在管理门诊抗生素治疗中的经济影响.
主要方法:
- 接受特定肌内抗生素的符合条件的住院患者被纳入.
- 参与者每天通过即时通讯应用程序提交使用过的瓶子的照片,以跟踪附着性.
- 虚拟随访评估了治疗后14天和28天的不良事件和症状.
主要成果:
- 共有30名患者参与,观察到90%的坚持率.
- 医院费用减少了38.3%,这一结果是可以实现的.
- 治疗失败发生在13.7%的患者中,没有报告任何重大不良事件.
结论:
- 以WhatsApp为例,即时通讯提供了一种具有成本效益和用户友好的方法,可以在门诊抗生素治疗中增强沟通和监控.
- 这种方法改善了坚持,抗生素的有效性和患者的结果,特别有利于资源有限的环境.
- 该研究展示了使用即时通讯来识别偏差和实现机构节省的概念验证.
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