新生儿重症监护室中的抗菌药物使用情况:范围审查
Francisco Clébison Chaves Lopes1, Tayssa Figueiredo Moura2, Lucas Amaral-Machado3
1Postgraduate Program in Collective Health, Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil.
Journal of the American Pharmacists Association : JAPhA
|August 31, 2025
概括
本范围审查考察了新生儿重症监护室 (NICU) 的抗菌药物使用情况. 这些发现将为面临感染风险的脆弱新生儿提供更安全的抗菌做法.
科学领域:
- 新生儿医学
- 传染性疾病
- 药理学
背景情况:
- 新生儿具有不成熟的免疫系统,
- 诸如侵袭性手术,长时间住院和低出生体重等因素会加剧新生儿感染的风险.
- 在新生儿重症监护室 (NICU) 使用抗菌药物需要描述.
研究的目的:
- 对新生儿重症监护室的抗菌药物使用进行范围审查.
- 描述新生儿重症监护机构中使用抗菌药物的模式和特征.
- 提供有关新生儿抗菌药物处方的证据.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的方法在开放科学框架 (OSF) 上注册的协议.
- 多个数据库的全面搜索 (PubMed,Scopus,科学网等) 和灰色文学.
- 根据PCC框架,使用Rayyan的两个独立审稿人进行研究选择和数据提取.
主要成果:
- 数据提取集中在抗菌药物消费率,常见处方,适用情况和非标签使用情况上.
- 纳入标准是新生儿重症监护室的研究,对住院新生儿有分层数据.
- 提取的数据应以图形形式呈现,并以表格形式呈现.
结论:
- 研究结果将阐明NICU中抗菌药物使用的全球差异.
- 这些发现将有助于医疗保健专业人员优化抗菌药物处方.
- 该审查旨在促进新生儿抗菌疗法的更安全和更有效的临床实践.
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