获得护理对关于抗生素在出院时持续时间的决策的影响
Guinn E Dunn1, Andrea T White2, Daniel L Giesler3
1Division of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Open forum infectious diseases
|July 3, 2025
概括
与城市相比,医院医生对农村地区的肺炎患者开了更长的抗生素疗程. 这表明社区的位置和随访护理的准入可能会影响抗生素处方的决定.
科学领域:
- 内部医学 内部医学
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抗生素管理对于打击抗菌素耐药性至关重要.
- 处方抗生素的处方实践可以影响患者的结果和耐药性发展.
- 影响处方决策的因素,如患者的位置,需要进一步调查.
研究的目的:
- 调查患者社区类型 (农村与当地) 对医院医生的出院抗生素处方对肺炎的影响.
主要方法:
- 采用了一项随机的图片研究.
- 医院医生呈现了假设的住院肺炎病例.
- 根据患者社区设置记录和分析出院时抗生素持续时间的处方决定.
主要成果:
- 与当地社区相比,医院医生对居住在农村社区的肺炎患者处方更长的抗生素持续时间 (>5天) 的可能性要大 (37%对10%,P = .004).
结论:
- 患者的农村和随访护理获取的潜在挑战可能会影响医院医生关于退院的决定,包括针对肺炎的抗生素处方时间.
更多相关视频
相关概念视频
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
48
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...
48
Urine Studies II: Urine Culture and Sensitivity Test
128
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...
128
Endocarditis IV: Nursing Management
40
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
40
Discharge Summary Forms
827
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
827
Acute Pyelonephritis II: Diagnostic Studies and Management
47
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
47
Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K


