南卡罗来纳州门诊抗生素处方的适当性,2012-2017年
Pamela Bailey1,2, Majdi N Al-Hasan1,2, Julie Royer3
1University of South Carolina School of Medicine, Columbia, SC, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|February 6, 2025
概括
在南卡罗来纳州,抗生素处方的适当性有所改善,不适当的使用在2012年至2017年期间大幅下降. 这一趋势在40岁以上的成年人中更为明显.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抗生素耐药性是全球主要的健康威胁.
- 适当的抗生素处方对于打击耐药性和改善患者的治疗结果至关重要.
- 了解处方模式对于有针对性的干预至关重要.
研究的目的:
- 评估南卡罗来纳州抗生素处方适当性的趋势.
- 确定与不适当使用抗生素相关的人口因素.
主要方法:
- 基于人口的队列研究,使用聚合的药房索赔数据.
- 将药房声明与医疗声明中的诊断代码相匹配,以评估处方的适当性.
- 对2012年至2017年的数据进行分析.
主要成果:
- 不适当的抗生素处方从2012年的30.2%下降到2017年的22.6% (P < 0.001).
- 不适当的处方在40岁以上的成年人中更为普遍.
- 在研究期间观察到抗生素处方适当性的显著改善.
结论:
- 该研究表明,南卡罗来纳州适当的抗生素处方趋势正面.
- 在老年人群中,可能需要针对性的干预措施,以进一步减少不适当的抗生素使用.
- 建议继续监测抗生素处方模式.
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