实施药剂师领导的门诊尼西林过敏测试诊所
Eric Linn1, Michael Sanchez2, Brekk DelHomme3
1Pharmacy Residency Coordinator, Department of Pharmacy, Health First Holmes Regional Medical Center, Melbourne, FL, USA.
Journal of the American Pharmacists Association : JAPhA
|February 13, 2025
概括
药剂师主导的青素过敏测试安全地标记了96%的门诊患者,改善了抗生素的使用,降低了医疗保健成本. 该计划通过准确识别真正的青素过敏来支持抗菌药物管理.
科学领域:
- 临床药房 临床药房
- 过敏测试 过敏测试 过敏测试
- 抗微生物药物管理委员会
背景情况:
- 青素过敏影响10%的人口,导致医疗保健费用增加,治疗失败,多药耐药生物体的增加.
- 准确的青素过敏评估对于有效的抗生素选择和抗菌药物管理计划至关重要.
研究的目的:
- 评估药剂师领导的门诊尼西林过敏测试计划的可行性和结果.
- 为了确定在门诊护理环境中消除青素过敏的标签的有效性.
主要方法:
- 一项回顾性队列研究分析了2022年7月至2023年12月期间457名接受过素过敏测试的门诊患者.
- 关键结果包括青素过敏脱标率,测试后适当使用抗生素,以及不良反应发生率.
- 数据来自非学术社区医院的门诊诊所,涉及各种医生专业的转诊.
主要成果:
- 在消除青素过敏的标签方面,获得了96% (439/457名患者) 的高成功率.
- 所有成功被标记的患者都接受了适当的抗生素;17名患者出现轻微反应,其中一人需要抗胰岛素.
- 在脱标后的192名骨科患者中没有观察到术后手术部位感染; 一名患者被重新标记.
结论:
- 药剂师领导的门诊尼西林过敏测试服务是可行的,并且有效地安全地删除患者的标签.
- 该计划通过使适当的抗生素处方成为可能,为抗菌药物管理做出了重大贡献.
- 药剂师与多个医生专业之间的合作是成功实施的关键.
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