了解犹他州社区药房的抗菌管理
Tariq A Mosleh1, April Clements1, Devin Beard1
1Utah Department of Health and Human Services, 288 N 1460 W, Salt Lake City, UT 84116, USA.
JAC-antimicrobial resistance
|September 5, 2025
概括
社区药剂师面临抗菌管理 (AS) 的障碍,例如患者数据的有限访问. 改善数据获取和提供者协作可以加强抗生素耐药性的努力.
科学领域:
- 药房实践
- 传染性疾病
- 公共卫生
背景情况:
- 对于优化抗生素使用和对抗抗生素耐药性至关重要.
- 社区药房在患者护理中发挥着至关重要的作用,
- 社区药房设置中的障碍阻碍了AS计划的全面实施.
研究的目的:
- 评估犹他州社区药房中AS活动的实施情况.
- 评估社区药剂师对AS原则,做法和障碍的理解.
- 确定可以加强AS实施和预防耐药感染的意识的促进者.
主要方法:
- 在犹他州的社区药房进行了横截面调查.
- 收集的数据包括药房人口统计,AS知识,实施实践,感知障碍和促进者.
- 110个社区药房的受访者提供了数据进行分析.
主要成果:
- 虽然71.6%的药剂师熟悉抗菌管理计划 (ASP),但存在重大障碍,包括有限的患者数据访问 (79.8%) 和缺乏标准化指南 (53%).
- 确定的主要促进因素是获得指导方针 (75.2%) 和改善提供者合作 (75.2%),其中86.4%强调患者记录访问的重要性.
- 观察到一个显著的差距,只有47.7%的药剂师在不适当的抗生素剂量或频率上持续介入.
结论:
- 加强社区药剂师对临床数据的访问对于有效的抗菌药物管理至关重要.
- 促进药剂师和医疗保健提供者之间的合作对于AS的成功实施至关重要.
- 解决已识别的障碍可以显著改善社区药房设置中的AS努力,优化患者的治疗结果和打击耐药性.
相关概念视频
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
34
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...
34
Urinary Tract Infection IV: Nursing Management
86
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
86
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
Urine Studies II: Urine Culture and Sensitivity Test
112
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...
112
Antimicrobial Effectiveness
156
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
156
Antibiotic Selection
55.2K
Overview
55.2K


