抗菌管理计划:巴西儿科重症监护室的行动和教育
Eliane Carlosso Krummenauer1, Mariana Portela de Assis1, Mara Rubia Santos Gonçalves2
1Universidade de Santa Cruz do Sul, Santa Cruz do Sul, RS, Brazil.
Revista latino-americana de enfermagem
|August 20, 2025
概括
巴西儿科重症监护室的抗菌管理计划显示教育缺陷,特别是在较小的医院. 加强教育和患者参与对于减少抗菌素耐药性和改善儿科护理至关重要.
科学领域:
- 儿童重症监护医疗
- 传染性疾病
- 公共卫生
背景情况:
- 巴西儿科重症监护室 (PED-ICU) 的抗菌教育和处方实践存在差距.
- 缺乏教育措施阻碍了抗微生物药物的合理使用,导致抗微生物药物耐药性.
- 公立和私立医院之间的区域差异和差异影响了抗菌管理计划 (ASP) 的实施.
研究的目的:
- 评估巴西儿科重症监护室 (PED-ICU) 抗菌管理计划 (ASP) 的教育组成部分和活动.
- 确定不同类型和地区的教育策略和处方干预措施的差异.
主要方法:
- 一个多中心的前性研究,从2022年10月到2023年1月使用电子表格进行.
- 对医疗保健专业人员和患者进行有关微生物耐药性的教育活动的分析.
- 对前性审计,反和抗菌处方预审等干预措施的评估.
主要成果:
- 在58.9%的PED-ICU中实施了专业人员的继续教育,但只有6.8%提供了患者教育,主要是在大型公共医院.
- 在较小的医院中,教育要素较弱,而处方改善干预措施更为普遍 (实施率为70.8%).
- 私立医院和东南地区的医院更遵守ASP管理实践.
结论:
- 巴西PED-ICU在ASP实施方面存在显著差异,需要加强继续教育.
- 加强教育策略和让所有利益关方参与,对于改善抗菌药物坚持和打击耐药性至关重要.
- 需要有针对性的干预措施来解决教育方面的缺陷,特别是在小型和公共医院,以优化儿科护理成果.
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