在一所大学医院内,静脉注射万科米的流行病学. 一项为期10年的研究
1Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.
JAMA
|February 3, 1993
概括
十年来,万科米辛的使用量增加了20倍,主要是由于血液瘤学患者的内置血管装置. 它的使用均分为经验性,预防性和定向治疗.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 药理学 药理学 是一个学科.
背景情况:
- 静脉注射万科米是一种治疗严重感染的关键抗生素.
- 了解万科米使用的趋势和预测因素对于抗菌药物管理至关重要.
研究的目的:
- 为了分析静脉注射万科米辛使用的10年趋势.
- 为了分类万科米辛处方的适用情况.
- 为了确定经验范科米使用的独立预测因素.
主要方法:
- 在大学教学医院进行了一项为期10年的描述性流行病学研究 (1981-1991).
- 横截面和病例对照研究评估了万科米辛的指示和预测因素.
- 多变量分析确定了经验范科米辛使用的决定因素.
主要成果:
- 范科米辛的使用量增加了20倍 (5.72至121.25克/1000个患者日).
- 血液病瘤学使用率最高 (P < .0001).
- 治疗指标包括预防 (35.0%),经验治疗 (31.8%) 和定向治疗 (33.2%).
- 住院血管装置 (IV线,希克曼导管) 是使用万科米辛的强有力的预测器.
结论:
- 在过去十年中,万科米辛的使用量显著增加,这与内置的血管装置有关.
- 血液瘤学患者表现出更高的万科米辛利用率.
- 范科米辛的处方在经验性,预防性和定向治疗中均等分布.
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