药剂师领导的急诊室尿道感染后护理计划的影响
Mia Vang1, Phuong Khanh T Nguyen1, My-Phuong Pham1
1Veterans Affairs Greater Los Angeles Healthcare System, California.
概括
一个由药剂师领导的后期护理计划改善了急诊室 (ED) 患者对尿路感染 (UTIs) 的抗生素使用. 这一举措减少了不必要的抗菌药物暴露,并加强了整体的尿路感染管理.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 很大一部分急诊室 (ED) 的抗生素处方是不合适的.
- 尿路感染是ED抗生素处方的常见原因之一.
- 退伍军人事务大洛杉矶医疗保健系统 (VAGLAHS) 实施了一项由药剂师领导的ED护理计划,用于门诊性尿路感染.
研究的目的:
- 评估药剂师领导的ED护理后期计划在管理门诊尿路感染方面的有效性.
- 促进在ED环境中治疗尿道感染的适当的抗菌管理.
主要方法:
- 回顾退伍军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人退役军人
- 2021年6月至2022年6月期间临床药剂师干预措施的评估.
- 排除患有并发性尿路感染,需要输液抗生素或住院治疗的患者.
主要成果:
- 在200名被评估的患者中,66.0%被诊断患有囊炎,60.5%接受经验性β-乳酸药.
- 药剂师的干预导致了17.0%的治疗修改和16.5%的病例中断.
- 不必要的抗生素暴露减少了144天,6.0%的患者在30天内进行了随后的尿路感染相关的ED访问.
结论:
- 一个由药剂师驱动的尿路感染和ED治疗后护理计划改善了抗生素管理.
- 该计划成功地减少了在美国退伍军人事务部医疗中心不必要的抗菌药物暴露.
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