在墨西哥50家医院实施抗菌药物管理计划的进展和挑战
Anahí Dreser1, Jennifer Hegewisch-Taylor1, María Alejandra Cortés-Ortiz2
1Center for Health Systems Research, National Institute of Public Health, Av. Universidad 655, Cuernavaca, Morelos, Mexico.
Journal of global antimicrobial resistance
|March 12, 2025
概括
墨西哥的抗菌药物管理计划 (ASP) 面临着工作过载和资源有限等障碍. 加强ASP需要更好的规划,监测和人力资源分配,医院当局的支持作为一个关键的促进者.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 抗生素管理计划 (ASP) 对于优化抗生素使用和打击抗生素耐药性 (AMR) 是至关重要的.
- 关于墨西哥医院内ASP实施的数据有限,需要对当前做法进行描述.
研究的目的:
- 描述墨西哥医院的ASP,并确定实施促进者和障碍.
- 评估COVID-19大流行对ASP实施的影响.
主要方法:
- 从CDC和WHO的核心元素中改编的一项自我评估电子调查,分发给墨西哥医院的ASP领导者 (2021-2022).
- 该调查涵盖了ASP的组织,结构,教育,指导方针,干预,监督,监测和报告.
主要成果:
- 50家医院参与了调查,52%的医院有官方的ASP文件,但只有14%的医院有专门的资金.
- 限制性干预是常见的 (68%),大多数医院准备抗生素图 (61%) 和监测消费 (54%).
- 关键障碍包括工作过载,工作人员不足和COVID-19相关的医院变化;强有力的行政支持是主要促进因素.
结论:
- 该研究提供了一个基线评估,以加强墨西哥医院的ASP实施.
- 国家和机构政策应专注于改善ASP规划,监测和资源分配,特别是人力资源.
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