在资源有限的环境中,门诊亲肠道抗菌药物治疗的有效性,安全性和可行性:试点纵向研究
Amit Kumar1, Prasan Kumar Panda2
1Department of Medicine, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India.
门诊亲肠道抗菌疗法 (OPAT) 在资源贫乏的环境中是安全有效的,减少了两周的住院时间. 这种方法有助于对抗微生物药物管理,并对抗抗微生物药物耐药性 (AMR).
科学领域:
- 传染性疾病
- 公共卫生
- 抗菌药物管理
背景情况:
- 门诊亲肠道抗菌疗法 (OPAT) 可以在医院外安全地输入静脉/肌肉抗菌剂,从而减少并发症和住院时间.
- OPAT是一个关键的抗菌管理干预措施,提供经济和后勤效益.
- 基于证据的OPAT实践在印度等资源有限的环境中未得到充分利用.
研究的目的:
- 评估OPAT在资源乏的环境中的有效性,安全性和可行性.
- 确定OPAT实施的障碍和促进因素.
- 评估OPAT在抗菌管理中的作用.
主要方法:
- 在符合OPAT标准的患者中进行长度观察试验.
- 放学前的教育,咨询和人口统计数据收集.
- 文献审查,鱼骨图,患者反,以及医疗保健工作者面试的障碍/促进者.
主要成果:
- 包括20名患者,19名患者达到了无发烧状态.
- 在家 (15) 或养老院 (5),在家人 (9) 或护士 (11) 的照顾下进行OPAT.
- 平均减少两周的住院时间;医生指出了好处,但指出了标准化和资源方面的挑战.
结论:
- 在资源乏的环境中使用OPAT是安全,可行和有效的, 减少了两周的住院时间.
- 通过尽量减少住院和相关并发症,OPAT直接支持抗菌管理.
- 这种方法对抗抗菌素耐药性至关重要,并符合全球抗菌素耐药性行动计划.
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