优化抗生素的使用和医院的意识:建立有效的抗生素管理途径
Bianca Maria Donida1, Grazia Mingolla1, Antonio Manfredi1
1ASST Bergamo Ovest, Piazzale Ospedale Meneguzzo 1. 24047 Treviglio (BG) Italy.
Current drug safety
|May 12, 2025
概括
抗生素使用减少了7%,高风险抗生素减少了5%. 然而,抗生素处方的适当性仍然很低,这表明需要改进管理计划来打击耐药性.
科学领域:
- 传染性疾病 传染性疾病
- 医院 医院药房 医院药房
- 公共卫生 公共卫生
背景情况:
- 抗生素耐药性是一个关键的医疗保健挑战,需要优化抗生素的使用.
- 这项研究调查了ASST Bergamo Ovest从2022年1月到2023年6月的系统性抗生素消费和处方做法.
- 重点领域包括医疗相关感染 (HAI) 和抗生素处方的适当性.
研究的目的:
- 分析系统性抗生素消费的趋势.
- 根据国家指导方针评估抗生素处方实践.
- 评估抗生素管理倡议的影响.
主要方法:
- 追溯观察性研究设计.
- 抗生素消耗数据使用AWaRe (访问,观察,储备) 分类进行分类.
- 分析抗生素使用量化为每100个患者日的确定每日剂量.
主要成果:
- 观察到抗生素消费总体减少了7%.
- 在AWaRe Watch类别的抗生素使用量下降了5%.
- 尽管消费量有所减少,但处方的适当性始终很低.
结论:
- ASST Bergamo Ovest已经实现了总体抗生素使用和高风险抗生素消费的减少.
- 低处方适当性突显了需要加强实时监测和管管计划的需要.
- 针对性干预对于改善处方,打击多药耐药性感染和满足欧洲标准至关重要.
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