未开发的潜力:探索临床药剂师作为抗生素管理大使
Esther Esadah1, Hayden T Schwenk2, Laura L Bio3
1Department of Pharmacy, Children's National Hospital, Washington, DC, USA.
临床药剂师对注射抗生素的干预显著增加了抗菌药物管理计划建议的比例. 这凸显了它们在优化抗生素处方和患者护理方面的关键作用.
科学领域:
- 传染性疾病 传染性疾病
- 临床药房 临床药房
- 抗微生物药物管理委员会
背景情况:
- 住院临床药剂师在抗菌药物管理中发挥着至关重要的作用.
- 预期审计和反 (PAF) 是优化抗生素使用的关键策略.
研究的目的:
- 描述临床药剂师对注射抗生素的干预措施.
- 通过抗微生物管理计划 (ASP) 评估这些干预措施对PAF的影响.
主要方法:
- 在四级护理儿科和产科医院进行的回顾性队列研究.
- 从2020年11月到2022年10月,对5277个临床药剂师对注射抗生素的干预 (iVents) 的分析.
- 在有或没有先前药剂师的病例中,PAF推率的比较.
主要成果:
- 优化抗生素剂量是最常见的干预类型 (34%).
- 总共有5,152个PAF被记录下来,其中34%的结果是建议.
- 当药剂师先前干预时,PAF建议的发生率明显高 (38%对34%,P=0.006).
结论:
- 临床药剂师实际上是ASP倡议的大使.
- 他们对注射抗生素的干预措施提高了处方实践.
- 建议扩大临床药剂师参与ASP.
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