用户对外科抗微生物预防指南的看法在澳大利亚高等医院的骨科手术中
Sarah Hassan1,2, Vincent Chan1, Julie E Stevens1,3,4
1Pharmacy, School of Health and Biomedical Sciences, RMIT University, Bundoora, Victoria, Australia.
PloS one
|March 20, 2025
概括
在澳大利亚的医院中,对开放降低内部固定 (ORIF) 的手术抗菌预防指南的遵守率很低. 了解处方因素和指南障碍是改善抗菌药物管理的关键.
科学领域:
- 传染性疾病 传染性疾病
- 手术护理 手术护理
- 卫生政策 卫生政策
背景情况:
- 手术抗微生物预防是澳大利亚医院中常见的抗微生物药物的使用.
- 在骨科中,遵守开放性减少内部固定 (ORIF) 预防的指导方针是不理想的.
- 对ORIF单剂量预防指南的遵守率低的原因尚不清楚.
研究的目的:
- 调查影响ORIF多剂量抗生素处方的因素.
- 确定障碍物和推动者,以在澳大利亚的第三级医院指导使用.
主要方法:
- 使用焦点小组和采访进行定性研究.
- 涉及的骨科外科医生,注册员,药剂师和麻醉师.
- 分析使用了理论领域框架 (TDF).
主要成果:
- 临床人员对指导方针的认识并不能确保遵守.
- 处方决定受到患者/环境因素和感染恐惧的影响.
- 障碍包括缺乏指导方针的具体性和分歧;支持者是有针对性的教育和更好的传播.
结论:
- 多种因素影响了ORIF的术后抗生素处方.
- 了解当地环境,障碍和推动因素对于干预开发至关重要.
- 改善指南的使用可以提高抗微生物药物的处方和管理.
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