混合方法多中心评估医疗保健工作者与住院成年人血液培养利用相关的知识,感知和实践
Valeria Fabre1, Sara E Cosgrove1, Aaron M Milstone2
1Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Infection control and hospital epidemiology
|December 20, 2024
概括
医疗保健工作者对血液培养 (BCx) 的最佳实践和实用性的知识有限. 许多临床医生订购BCx的门很低,但对最佳收集和产量的理解不足.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 血液培养 (BCx) 对于诊断血液感染至关重要.
- 优化BCx的使用对于有效的抗菌药物管理和患者的治疗结果至关重要.
- 了解医疗保健工作者 (HCW) 的观点是改善BCx实践的关键.
研究的目的:
- 评估医疗保健工作者关于血液培养物利用的信念和做法.
- 在HCW之间识别BCx订单,收集和解释的知识差距.
- 为加强BCx管理计划的策略提供信息.
主要方法:
- 一项涉及匿名电子调查和半结构面试的横截面研究.
- 参与者包括参与成人ICU和病房BCx订购和收集的HCW.
- 从2023年2月至11月期间,从美国的学术医院收集了数据.
主要成果:
- 大多数接受调查的HCW (67.4%的医生) 订购BCx发烧的门很低.
- 虽然65%的人认为BCx可以减少,但只有一半的人认为BCx被过度使用.
- 关于正确的BCx体积,最佳组数,污染值和常见感染的实用性,观察到显著的知识缺陷.
结论:
- 医疗保健工作者对最佳血液培养采集实践的理解有限.
- 关于BCx收益率和最佳实践的知识差距阻碍了有效的管理工作.
- 需要进行干预措施,以改善HCW关于血液培养实用性和技术的教育.
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