抗生素在耳科手术中的使用实践:一项全国性调查研究
Azmi Marouf, Samya Konda1, De'Andre Warren
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
概括
耳部手术的抗生素预防实践在美国外科医生之间有很大的差异. 感染程序的使用率更高,而非感染病例的首发类药物更受青,这突显了对标准化指导方针的需求.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术传染病手术传染病
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗生素预防对于预防手术部位感染至关重要.
- 目前耳科手术中的抗生素处方模式缺乏标准化.
- 实践中的变化可能会导致低于最佳的结果或抗菌素耐药性.
研究的目的:
- 评估目前在美国耳科手术中的抗生素预防实践.
- 根据特定的耳部外科手术程序,识别抗生素处方的变化.
- 为制定基于证据的关于在耳科手术中使用抗生素的指导方针提供信息.
主要方法:
- 一项采用全国调查的横截面研究.
- 调查分发给美国神经学会 (ANS) 的成员.
- 评估了用于耳植入, tympanoplasty,胆固醇瘤手术和切除术的抗生素处方.
主要成果:
- 73名外科医生的反应率达到了15.21%.
- 抗生素的处方因手术不同而有所不同,从干净耳造形手术的23.3%到耳植入器的64.4%.
- 对于非感染的手术,首发索是最受欢迎的,而对于活跃的感染,阿莫西西林是常见的.
结论:
- 耳部外科手术的预防性抗生素使用存在显著差异.
- 在涉及活性感染的程序中观察到较高的抗生素使用率.
- 需要在耳部手术中进行抗生素预防的标准化,基于证据的建议.
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