在重症监护病房中遗漏抗菌剂量的分析
Isabelle Ribeiro Machado1, Danielle de Mendonça Henrique1, Flávia Giron Camerini1
1Universidade do Estado do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.
在重症监护室,4.29%的抗微生物剂量被遗漏. 双重检查处方显著减少了这些遗漏,改善了患者安全和抗微生物药物管理.
科学领域:
- 临床药房 临床药房
- 传染性疾病 传染性疾病
- 患者安全 患者安全
背景情况:
- 遗漏抗菌剂量是医疗保健机构的一个关键问题.
- 预防药物错误对于有效治疗和打击抗菌素耐药性至关重要.
研究的目的:
- 为了确定在重症监护病房 (ICU) 中抗菌剂量遗漏的频率.
- 为了确定与抗微生物剂量遗漏相关的因素.
- 评估处方审查对剂量遗漏率的影响.
主要方法:
- 在2023年3月1日至9月30日期间,在里约热内卢一所大学医院的ICU中进行了一项横截面研究.
- 分析包括452个处方和1467个抗菌剂剂量.
- 使用统计方法来评估剂量遗漏率和影响因素.
主要成果:
- 总体抗微生物剂量遗漏率为4.29%.
- 每次额外的抗微生物药物处方都会将剂量遗漏的可能性增加51%.
- 实施处方双重检查策略可以防止30%的抗菌剂剂量遗漏 (p=0.0001).
结论:
- 对抗微生物剂量遗漏的定期监测对于提高护理实践和患者安全至关重要.
- 减少剂量遗漏有助于预防药物错误,并支持抗菌药物管理计划.
- 这些发现有助于全球努力打击抗菌素耐药性.
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