医院内抗生素使用与重症患者的长期结果之间的关联
Parker Burrows1, Ruth-Ann Brown1, Abigail Samuelsen2
1Department of Anesthesiology and Perioperative Medicine, Penn State Milton S Hershey Medical Center, Hershey, PA 17036, USA.
危急病患者的抗生素持续时间较长会增加住院时间,但不会改善存活率. 较短的抗生素疗程对于更好的结果和减少并发症至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 临床药房 临床药房
背景情况:
- 抗生素管理对于管理重症患者至关重要.
- 了解抗生素持续时间和无抗生素日的影响对于优化患者护理至关重要.
研究的目的:
- 评估抗生素持续时间 (AD) 和一年的无抗生素日 (AFD) 与重症成人住院和出院后的结果之间的关联.
- 为了确定长期使用抗生素是否会影响死亡率或再接收率.
主要方法:
- 一项回顾性观察性研究,涉及126名重病成年人.
- 在一年内收集了人口统计,临床特征,抗生素使用和结果的数据.
- 进行了多变量分析,以调整混因素.
主要成果:
- 较长的AD与增加的住院时间相关;每增加一天的抗生素增加了0.37-0.39天的住院时间.
- 在败血症患者中,较少的AFD与住院时间长度有关.
- 无论是AD还是AFD都没有预测一年死亡率或再录取.
结论:
- 在重症患者中,延长抗生素的持续时间延长了住院时间,但没有改善死亡率或再接收收益.
- 这些发现凸显了优化抗生素管理计划的必要性.
- 较短,有针对性的抗生素治疗方案可以减少并发症并改善患者的治疗结果.
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