在心脏外科病房适当使用万科米
Sanaa Mekdad1,2, Leenah Alsayed3, Suzan Alkhalaif3
1King Fahad Medical City, Riyad, Saudi Arabia. smekdad@kfmc.med.sa.
Journal of cardiothoracic surgery
|December 20, 2024
概括
在心脏手术患者中,适当的万科米辛使用率高达89.1%,但10.9%的使用是不适当的,通常是由于长时间的经验处方,导致抗生素耐药性. 这凸显了需要更好地管理万科米辛的必要性.
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
- 临床药房 临床药房
背景情况:
- 抗生素耐药性,包括抗甲素的黄金葡萄球菌 (MRSA) 和抗万科米辛的菌 (VRE),构成了全球健康的重大威胁.
- 谨慎使用万科米对于缓解耐药性的发展至关重要,特别是在资源有限的环境中.
- 对抗微生物药物管理计划来说,评估万科米辛的处方模式至关重要.
研究的目的:
- 评估在心脏外科病房使用万科米辛的适当性.
- 根据美国传染病学会 (IDSA) 的指导方针评估万科米辛的使用情况.
- 为了确定不适当的万科米辛处方的模式和原因.
主要方法:
- 对从2023年1月到2023年12月接受万科米辛的患者病历的回顾性分析.
- 收集的数据包括患者人口统计数据,万科米辛的指示,培养结果,并发抗生素,血清水平和诊断.
- 根据IDSA指导方针确定了适当性.
主要成果:
- 在294名患者中,89.1%的患者得到了适当的范科米辛,而10.9% (32名患者) 的患者使用了不适当的药物.
- 不适当使用的主要原因是继续使用万科米辛超过72小时,没有记录的グラム阳性感染 (65.6%的不适当病例).
- 范科米辛在41%的患者中被用于治疗,在剩余的患者中被用作经验性治疗,但不包括外科预防.
结论:
- 这项研究发现,高比例的万科米辛使用是适当的 (89.1%),但值得注意的是10.9%的使用是不适当的.
- 不适当的万科米辛处方,特别是长时间的实证使用,可能会导致万科米辛耐药性的增加.
- 建议加强监测和审查经验范科米辛的处方做法.
关键词:
抗生素 抗生素是一种抗生素.抗微生物药物 抗微生物药物格拉姆阳性 格拉姆阳性在MRSA中,MRSA可能是MRSA.电阻 电阻 电阻 电阻 电阻 电阻这就是VRE VRE VRE.这是一种β-lactam.更多相关视频
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