Edwards R, Drumright Ln, Kiernan M, Holmes A
The National Centre for Infection Prevention and Management, Division of Infectious Diseases, Imperial College London, London, W12 OHS, UK.
J Infect Prev. 2011 Jan;12(1):6-10. doi: 10.1177/1757177410389627.
The potential contribution nurses can make to the management of antimicrobials within an in-patient setting could impact on the development of antimicrobial resistance (AMR) and healthcare associated infections (HCAIs). Current initiatives promoting prudent antimicrobial prescribing and management have generally failed to include nurses, which subsequently limits the extent to which these strategies can improve patient outcomes. For antimicrobial stewardship (AS) programmes to be successful, a sustained and seamless level of monitoring and decision making in relation to antimicrobial therapy is needed. As nurses have the most consistent presence as patient carer, they are in the ideal position to provide this level of service. However, for nurses to truly impact on AMR and HCAIs through increasing their profile in AS, barriers and facilitators to adopting this enhanced role must be contextualised in the implementation of any initiative.
护士在住院环境中对抗菌药物管理所能做出的潜在贡献，可能会影响抗菌药物耐药性（AMR）的发展以及医疗相关感染（HCAIs）。当前促进谨慎使用抗菌药物和管理的举措通常未将护士纳入其中，这随后限制了这些策略改善患者结局的程度。要使抗菌药物管理（AS）计划取得成功，就需要在抗菌治疗方面进行持续且无缝的监测和决策。由于护士作为患者护理者的存在最为持续，他们处于提供这种服务水平的理想位置。然而，为了让护士通过在AS中提高自身形象真正对AMR和HCAIs产生影响，在实施任何举措时，都必须结合背景来考虑采用这一强化角色的障碍和促进因素。
