父母报告的抗生素过敏对儿科抗生素管理计划的影响
Annabelle Arnold1, Linda L Coventry2, Mandie J Foster3
1Immunology Department, Perth Children's Hospital, Perth, WA, Australia; School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia.
带有抗生素过敏标签 (AALs) 的儿童接受了更广泛的抗生素,住院时间更长. 对AALs的早期干预对于优化儿科护理中的抗菌药物管理 (AMS) 是至关重要的.
科学领域:
- 儿童传染病 儿童传染病
- 抗微生物药物管理委员会
- 临床结果研究研究
背景情况:
- 抗微生物药物管理 (AMS) 对于打击抗微生物药物耐药性至关重要.
- 在儿童中报告的抗生素过敏标签 (AAL) 可以阻碍AMS的有效性.
- 在儿科AMS中AALs的临床影响尚未先前评估.
研究的目的:
- 在AMS审查中,比较具有和没有抗生素过敏标签 (AAL) 的儿科患者的临床结果.
- 评估AALs对抗生素处方模式和患者结局的影响.
主要方法:
- 在AMS审查 (2017-2019) 中,对1590名儿科住院患者进行了回顾性队列研究.
- 分析包括后勤,日志-二项式和Cox回归.
- 数据包括AAL状态,抗生素使用,诊断,停留时间和重症监护入院.
主要成果:
- 患有AAL的患者 (6.6%) 与没有AAL的患者相比,接受了更广泛的抗生素 (诺,林科萨米德,氨基糖化物).
- 没有AAL的儿童更频繁地被处方青素.
- AAL与医院住院时间略长相关 (7 vs. 5天,P=.027).
结论:
- 这项研究表明AALs对儿科AMS的临床结果的影响.
- 建议对需要最佳抗生素管理的儿童进行早期干预和AAL脱标.
- 解决AAL对于有效的儿科抗菌药物管理计划至关重要.
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