来自一项干预研究的结果,该研究实施了免费培养和对狗和猫的敏感性尿检测
Amy W Hii1, James R Gilkerson1, Kirsten E Bailey1
1Asia-Pacific Centre for Animal Health, Melbourne Veterinary School, University of Melbourne, Parkville, Victoria, Australia.
The Veterinary record
|June 6, 2025
概括
消除尿培养和敏感性 (C&S) 测试的成本障碍,并提供决策支持工具,增加了兽医C&S提交,并影响了抗菌素处方行为.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 抗微生物药物管理委员会
- 诊断微生物学 诊断微生物学
背景情况:
- 尿培养和敏感性 (C&S) 测试对于诊断感染和指导兽医抗菌剂选择至关重要.
- 与C&S测试相关的成本是兽医广泛采用的重要障碍.
研究的目的:
- 评估提供免费尿液C&S测试和对兽医诊断实践的决策支持工具的影响.
- 评估抗微生物药物处方行为的变化,以应对增加的C&S测试可访问性.
主要方法:
- 在2022年1月至12月期间,在澳大利亚墨尔本的10家全科兽医诊所进行了一项研究.
- 诊所提供免费的尿液C&S测试和决策支持工具.
- 研究后进行了兽医调查,以收集关于测试率和处方习惯的数据.
主要成果:
- 在为期11个月的研究期间,共记录了480次尿液C&S提交.
- 参与诊所的尿液C&S提交率整体增加了2.4倍.
- 80%的兽医报告C&S提交量增加,74%报告推迟抗菌素处方等待结果.
结论:
- 消除尿液C&S测试的成本障碍,加上决策支持工具,明显改善了抗菌素处方实践.
- 该研究强调了有针对性的干预措施的潜力,以加强兽医一般实践中的抗菌药物管理.
- 限制包括小样本大小,可能限制研究结果对所有澳大利亚兽医诊所的概括性.
相关概念视频
01:26Urine Studies II: Urine Culture and Sensitivity Test
896
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
896
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
255
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
255