与无症状细菌性尿病管理相关的结果,在住院治疗的老年患者中,患有地面跌倒的情况
Katelin A Everitt1, Margaret Baldwin2,3, Nick Tinker2,4
1Department of Pharmacy, Utah Valley Hospital, Provo, UT, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|March 20, 2025
概括
在老年患者中,抗生素治疗无症状的细菌性尿症,这些老年患者跌倒会造成无益的伤害. 目前的指导方针建议不服用抗生素,并调查其他导致跌倒的原因.
科学领域:
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 无症状细菌尿 (ASB) 在老年患者中很常见.
- 跌倒是常见的老年综合征,而ASB通常被认为是潜在的原因.
- 缺乏指导该群体ASB管理的证据.
研究的目的:
- 评估ASB抗生素治疗对老年患者出现跌倒的影响.
- 为了比较ASB和跌倒的治疗和未治疗患者之间的结果.
主要方法:
- 对患有跌倒和ASB的老年患者的回顾性分析.
- 在接受抗生素治疗的患者与不接受抗生素治疗的患者之间比较临床结果 (例如,复发性跌倒,不良事件).
- 分析治疗的好处和危害.
主要成果:
- 在老年患有跌倒的患者中,抗生素治疗ASB没有显示出临床益处.
- 发现了抗生素治疗和不良结果之间的明显关联.
- 未接受治疗的患者没有经历与ASB相关的更糟糕的结局.
结论:
- 在老年患者中,对无症状细菌尿的抗生素治疗与跌倒有关,与危害相关,并且没有益处.
- 这些发现支持美国传染病学会 (IDSA) 目前的指导方针,在这种情况下拒绝使用抗生素.
- 医疗保健提供者应专注于识别和管理老年患者倒的替代病因.
更多相关视频
相关概念视频
Pneumonia V: Nursing management and Prevention
1.8K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.8K
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
Pneumonia IV: Management
282
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
282
Pneumonia III: Complications and Assessment
135
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
135
Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K
Tonsillitis II: Management
98
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
98


