在手术患者的抗微生物预防
JAMA
|February 20, 1981
概括
在手术患者中减少抗生素预防的持续时间可以显著降低成本. 这项研究发现,通过优化抗生素的服用时间和持续时间,可以节省18%至50%的潜在成本.
科学领域:
- 传染性疾病 传染性疾病
- 手术护理 手术护理
- 药物经济学 药物经济学
背景情况:
- 抗生素预防通常在手术中用于预防感染.
- 目前在抗生素预防中的做法是不同的,持续时间和时间不同.
- 优化抗生素的使用对于患者的治疗结果和医疗保健成本至关重要.
研究的目的:
- 为了前性地评估目前在手术患者中使用抗生素预防的情况.
- 通过优化抗生素的管理来确定潜在的成本节约.
主要方法:
- 在27家医院对1021名手术患者的前性评估.
- 收集有关患者人口统计,手术程序和抗生素预防方案的数据.
- 分析抗生素的时间,持续时间和药物类别.
- 根据预防的持续时间,评估潜在的成本节约.
主要成果:
- 在接受一般手术,骨科,产科/妇科和泌尿器科手术的患者中进行了抗生素预防.
- 只有41%的患者在手术前推的四小时窗口内接受了抗生素.
- 预防的平均持续时间为3.4天,其中三分之一的患者接受了超过72小时的预防.
- 类是最常用的抗生素类.
- 分析表明,通过限制预防时间,可以节省18%至50%的成本.
结论:
- 目前在手术中的抗生素预防实践在时间和持续时间方面是不理想的.
- 长时间的抗生素预防对整体抗生素使用和成本作出了重大贡献.
- 限制术后抗生素预防的持续时间为降低成本提供了巨大的潜力.
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