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在长期护理设施中对抗微生物药物管理的公共卫生方法:马萨诸塞州的一个多方面的计划
Kap Sum Foong1, Leslie Fowle2, Amanda Slider2
1Division of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts Medical Center, Boston, Massachusetts, USA.
概括
马萨诸塞州 马萨诸塞州 马萨诸塞州 马萨诸塞州 马萨诸塞州
科学领域:
- 抗微生物药物管理管理
- 公共卫生干预措施 公共卫生干预措施
- 长期护理 (LTC) 设施使用抗生素
背景情况:
- 在长期护理 (LTC) 设施中,抗生素的使用往往低于最佳水平.
- 马萨诸塞州抗生素开始 (AS) 报告计划于2018年启动,以解决这一问题.
- 该计划使用每月报告,反和管理干预措施.
研究的目的:
- 评估马萨诸塞州AS报告计划对LTC设施抗生素处方的影响.
- 评估beta-lactam和诺基诺处方模式的变化.
- 为了比较已认可和未认可设施之间的AS费率.
主要方法:
- 从LTC设施每月自愿提交AS数据.
- 计算每1000个居民日的附加系统利率.
- 对2018-2024年处方趋势的中断时间序列 (ITS) 分析.
- 分层分析,比较有荣誉名单认可和没有荣誉名单认可的设施.
主要成果:
- 217个LTC设施提交了数据.
- 总的来说,AS利率上升了7% (7.22到7.70每1000个居民日).
- 诺基诺的发射率下降了36%,而β-乳糖的发射率增加了26%.
- ITS的分析显示,2022年10月之后,β-乳使用量显著增加.
- 荣誉名单设施显示出更高的AS率.
结论:
- 持续的公共卫生-学术合作有效地推进了在LTC中的抗菌药物管理.
- 结合基准测试,反,教育和认可,可以促进管理层的参与.
- 该计划支持在资源有限的环境中可持续改善抗生素的使用.
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