评估在伊拉克一家三级医院的手术抗菌预防实践
Marwan Ibrahim Abdullah1, Narmin Sayed Essa2, Ahmed Khalil Al-Kubeisi3
1PHARMACOLOGY AND CLINICAL PHARMACY DEPARTMENT, COLLEGE OF PHARMACY UNIVERSITY OF AL MAARIF, RAMADI, IRAQ.
概括
手术抗微生物预防 (SAP) 的坚持不佳,大多数患者接受了不适当的抗生素选择,时间和持续时间. 优化SAP对于减少手术部位感染和抗生素耐药性至关重要.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 手术感染 手术感染
背景情况:
- 手术抗微生物预防 (SAP) 对于预防手术部位感染 (SSI) 是必不可少的.
- 在SAP中不适当使用抗生素是医疗保健中普遍存在的问题.
- 遵守SAP的国际指导方针往往是不理想的.
研究的目的:
- 评估处方模式和手术抗微生物预防的适当性.
- 在SAP实践中发现与国际准则的偏差.
主要方法:
- 一项回顾性横截面研究分析了419个手术和妇科病人的病历.
- 收集的数据包括SAP指示,抗生素选择,时间和持续时间.
- 评估基于遵守已确定的国际准则.
主要成果:
- 只有35.1%的患者接受了SAP的适当抗生素选择.
- 塞夫特里亚克松是最常被处方的抗生素 (73.0%).
- 大多数患者在切口后接受抗生素治疗,持续时间通常超过7天,72.1%的患者接受了不适当的预防,增加了成本.
结论:
- 在关于抗生素选择,时间和持续时间的SAP指南遵守方面存在重大差距.
- 迫切需要进行抗微生物管理干预措施,以改善SAP.
- 优化SAP实践可以帮助减少SSI和打击抗生素耐药性.
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