实施抗微生物管理认证计划及其对低资源环境的影响
Richard Faator Dery1, Emily Perry2, Paul Carson1
1College of Health and Human Sciences, North Dakota State University, Fargo, ND, USA.
概括
抗微生物耐药性是一种全球性威胁. 一个计划向农村药剂师提供免费的抗微生物管理 (AMS) 认证,使他们能够在服务不足的设施中实施关键的AMS干预措施.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 药房实践 在药房实践中
背景情况:
- 抗微生物药物耐药性 (AMR) 构成一个重大的全球健康挑战,需要强有力的抗微生物药物管理 (AMS) 计划.
- 获得传染病专业知识的机会往往在农村和较小的医疗保健设施中是有限的,例如临界接入医院 (CAH) 和熟练护理设施 (SNF).
- 在这些资源较少的环境中,药剂师代表了实施AMS倡议的潜在关键资源.
研究的目的:
- 评估向低资源环境中的药剂师提供免费抗菌管理 (AMS) 认证的可行性和影响.
- 评估国家支持的培训计划在提高农村医疗保健设施的AMS能力方面的作用.
- 确定利用现有药房人员解决服务不足地区的AMS挑战的有效性.
主要方法:
- 北达科他州卫生与人类服务部和北达科他州立大学之间的合作计划通过传染病药剂师协会 (SIDP) 提供了免费的AMS认证.
- 从2018年至2022年 (不包括2020年) 的113名申请人中,选出了85名为CAH,SNF服务或愿意支持这些设施的药剂师.
- 项目完成以及AMS干预措施的开发和实施在四年内进行了跟踪.
主要成果:
- 参与的药剂师中有54%成功完成了AMS认证计划.
- 很大一部分完成者 (54%) 在他们的设施内开发和实施了AMS干预措施.
- 另外32%的人在评估时正在进行AMS干预,这表明正在进行的参与.
结论:
- 提供免费的AMS认证给低资源环境中的药剂师是建立抗菌药物管理能力的可行策略.
- 这一举措证明了国家资源的成本效益使用,以改善服务不足的农村地区的AMS实践.
- 通过专业培训赋予药剂师权力,可以有效地应对抗菌素耐药性的挑战,这些设施对传染病专家的访问有限.
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