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针对血流感染住院患者的计算机化抗菌决策支持。

Computerized antimicrobial decision support for hospitalized patients with a bloodstream infection.

作者信息

Mullett Charles J, Thomas John G, Smith Connie L, Sarwari Arif R, Khakoo Rashida A

机构信息

Department of Pediatrics, West Virginia, Morgantown, WV, USA.

出版信息

AMIA Annu Symp Proc. 2003;2003:946.

Abstract

We developed a computerized antimicrobial decision support program founded on our local bacterial susceptibility data. In a retrospective analysis of patients with a bloodstream infection, we compared the actual antimicrobials prescribed to the antimicrobials recommended by the program. We found the computer-guided therapy to be clinically and statistically more effective than the therapy initiated by the physicians. We conclude that computerized decision support can improve the targeting of empiric antimicrobial therapy.

摘要

我们基于本地细菌药敏数据开发了一个计算机化的抗菌决策支持程序。在一项对血流感染患者的回顾性分析中,我们将实际开出的抗菌药物与该程序推荐的抗菌药物进行了比较。我们发现,计算机引导的治疗在临床和统计学上比医生启动的治疗更有效。我们得出结论,计算机化决策支持可以改善经验性抗菌治疗的针对性。

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