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关于在毛里求斯医院使用抗生素的点患病率调查

Lovena Preeyadarshini Veerapa-Mangroo^1,2, Harena Rasamoelina-Andriamanivo^2,3, Mohammad Iqbal Issack^2,4

¹Communicable Disease Control Unit, Ministry of Health and Wellness, Port Louis, Mauritius.

Frontiers in antibiotics

|January 16, 2025

概括

这项研究揭示了毛里求斯公立医院大量滥用抗生素,包括过度的手术预防和大量使用广谱抗生素. 迫切需要改善抗生素管理.

科学领域:

传染性疾病传染性疾病
药理学药理学是指药理学的学科.
公共卫生公共卫生

背景情况:

抗生素处方模式对于有效的抗菌药物管理至关重要.
了解毛里求斯公共医院目前的抗生素使用情况,对于确定需要改进的领域至关重要.

研究的目的:

确定毛里求斯地区公共医院内住院患者的抗生素处方模式.
确定潜在的滥用和加强抗生素管理的领域.

主要方法:

在毛里求斯的三个二级公立医院进行了点患病率调查 (PPS).
数据收集遵循了世界卫生组织在医院使用抗生素的PPS方法.
在2018年和2019年特定时期收集住院患者数据.

主要成果:

在915名住院患者中,有53%接受了753次抗生素治疗,平均每名患者1.6次处方.
社区感染 (50%) 和手术预防 (40%) 是使用抗生素的主要指示.
第三代类药物,阿莫西西林,类药物和类药物主导了处方,只有16%的患者先前进行了抗生素敏感性测试.

结论:

确定了大量的抗生素滥用,包括过度使用外科预防和高度依赖第三代类药物和WATCH抗生素类别.
较低比例的先前抗生素敏感性测试表明需要改进诊断实践.
该研究强调,迫切需要进行反复调查并扩展到私营部门,以全面了解毛里求斯的抗生素使用情况.

关键词:

毛里求斯是毛里求斯的一个岛屿.使用抗生素使用抗生素.流行病学流行病学医院医院医院医院调查点患病率调查点患病率调查

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