在抗生素订单入口时需要治疗的持续时间减少了抗生素的使用
Megan R Wright1, Jessica Gillon1, Sophie E Katz2
1Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, TN, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|February 14, 2025
概括
要求临床医生在订单入口时设定抗生素停止日期,大大减少了抗生素的持续时间. 这种干预减少了每1000个患者日的药物日数,优化了抗生素管理.
科学领域:
- 传染性疾病 传染性疾病
- 临床药房 临床药房
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 抗生素管理计划旨在优化抗生素的使用.
- 强制性停止日期对抗生素处方时间的影响尚未得到充分证实.
研究的目的:
- 评估在订单入口时要求抗生素停止日期对抗生素处方持续时间的影响.
主要方法:
- 展望性研究涉及强制输入抗生素订单的停止日期.
- 对每1000名患者的抗生素治疗持续时间 (DOT) 的分析,在实施前和实施后的几天.
主要成果:
- 强制停止日期的实施减少了经验性抗生素订单的DOT/1000个患者日.
- 患者日数从154日减少到119日/1000个患者日,减少了34.9%.
结论:
- 强制性停止日期输入是减少抗生素处方时间的有效策略.
- 这种干预措施支持抗微生物药物管理工作,并可能减少与抗生素相关的不良事件.
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