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了解印度早期新生儿败血症管理的变化:基于图片的调查调查
Samuel McAleese1,2, Tushar B Parikh3, Basma Ouddi4
1Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA smcaleese@mgh.harvard.edu.
BMJ paediatrics open
|January 8, 2025
概括
机构能力和感染预防计划可能会减少早期发病新生儿败血症 (EONS) 的抗生素启动. 然而,这些因素并没有影响印度早期停止对EONS的抗生素.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 传染病 传染病 传染病
- 公共卫生 公共卫生
背景情况:
- 对早期发病的新生儿败血症 (EONS) 过度使用抗生素是一种担忧,可能导致不良后果.
- 实验室容量和感染预防计划等机构因素可能会影响EONS的抗生素处方.
- 这项研究调查了机构能力对印度EONS抗生素使用的影响.
研究的目的:
- 检查机构能力对印度EONS抗生素处方实践的影响.
- 评估感染预防举措和实验室能力如何影响EONS的抗生素启动和停止.
主要方法:
- 在2023年9月至2024年1月期间,对印度儿科医生和新生儿科医生进行了调查.
- 参与者根据风险概况回应了评估EONS抗生素启动和停止使用的视频.
- 后勤回归模型分析了机构能力,管理计划和抗生素处方之间的关联.
主要成果:
- 大多数受访者 (91%) 采取了抗菌药物管理计划,56%的受访者在48小时内获得了血液培养结果.
- 查测试很常见 (56%-67%),但异常结果往往导致长时间的抗生素疗程.
- 预防感染的举措和及时的实验室结果与开始实证抗生素的几率较低有关,但不能更早地停止治疗.
结论:
- 预防感染和实验室容量可能会减少EONS的经验性抗生素启动.
- 这些因素与早期停止EONS抗生素治疗无关.
- 在印度新生儿中使用败血症查测试需要进一步调查.
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