医生和药剂师对抗生素在败血症中使用的知识,态度和做法
Jingmin Zhang1,2, Haipeng Shi1,2, Yanmei Xia1,2
1Department of Intensive Care Unit, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Frontiers in medicine
|January 30, 2025
概括
医生和药剂师对败血症抗生素的使用表现出良好的知识和态度,但仍存在一些实践差距. 建议进行有针对性的培训,以改善重症监护病房的抗生素管理.
科学领域:
- 密集护理医学 密集护理医学
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 在重症监护室 (ICU) 中的败血症管理受到适当的抗生素使用的挑战.
- 在败血症中不适当地使用抗生素会导致患者的不良结果.
- 医生和药剂师关于败血症抗生素使用的知识,态度和实践 (KAP) 需要进一步调查.
研究的目的:
- 评估医生和药剂师关于在败血症中使用抗生素的知识,态度和实践 (KAP).
- 为了确定与有效的抗生素管理在败血症管理相关的因素.
主要方法:
- 在2023年6月至10月期间,在山西贝图恩医院进行了一项基于网络的横截面研究.
- 一个自行设计的问卷评估了人口统计信息和关于在败血症中使用抗生素的KAP.
- 来自200个有效问卷的数据使用多变量逻辑回归和结构方程建模 (SEM) 来分析.
主要成果:
- 参与者表现出关于败血症抗生素使用的一般足够的知识,积极的态度和积极的做法.
- 态度和丰富的工作经验 (≥15年) 独立地与主动实践相关.
- SEM揭示了态度直接影响医生的实践,而知识影响态度,态度影响药剂师的实践.
结论:
- 医生和药剂师表现出充足的知识和积极的态度,但在败血症抗生素管理中面临着持续的误解和实践缺陷.
- 综合性培训计划对于加强医生和药剂师的实践至关重要,以改善败血症的抗生素管理.
- 解决知识,态度和实践中发现的差距对于优化败血症护理患者的结果至关重要.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.4K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.4K
Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
Combined Effects of Drugs: Synergism
3.7K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
3.7K
Antibiotic Selection
52.2K
Overview
52.2K
Standard Precaution
1.8K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.8K


