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如何改进医院抗生素使用数据的采集和分析:ConsoRes 软件实验实施的初步结果。

How to improve the collection and analysis of hospital antibiotic consumption: preliminary results of the ConsoRes software experimental implementation.

机构信息

Centre de coordination de lutte contre les infections nosocomiales de l'Est, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, Vandœuvre-lès-Nancy, France.

出版信息

Med Mal Infect. 2012 Apr;42(4):154-60. doi: 10.1016/j.medmal.2012.02.006. Epub 2012 Mar 15.

Abstract

OBJECTIVE

The online software ConsoRes is used to collect and analyze data on antibiotic consumption and evolution of bacterial resistance in healthcare institutions in every hospital ward (HW). We report the first results of ConsoRes implementation in the northeast hospitals of France.

METHODOLOGY

ConsoRes was implemented in January 2011, in nine volunteer hospitals after performing an onsite assessment. Five of these hospitals were already monitoring antibiotic consumption with a network such as Raisin ATB or Antibiolor, providing feedback on the various evaluation tools.

RESULTS

The ConsoRes data collection import function meets expectations of pharmacists, bacteriologists, or clinicians since it is user friendly, prevents redundant data input, and allows data transfer to the national databases. Importing the hospital organizational structure prevents mistakes on consumption allocation, which was noted in the previous databases, and makes comparison and benchmark analysis reliable. ConsoRes also provides a rapid consumption data feedback to all registered users within the hospital, whether in charge of a ward (clinician) or having a transversal function (pharmacist, bacteriologist). The availability of an automatic standard report or of an online customized report is another major feature of ConsoRes.

CONCLUSION

Besides providing surveillance, the concomitant analysis of local antibiotic consumption and bacterial resistance should have an educational impact by allowing each user to implement actions within the framework of antibiotic stewardship.

摘要

目的

在线软件 ConsoRes 用于收集和分析医疗机构中每个病房(HW)的抗生素使用情况和细菌耐药性演变的数据。我们报告了 ConsoRes 在法国东北部医院实施的初步结果。

方法

ConsoRes 于 2011 年 1 月在九个志愿医院实施,实施前进行了现场评估。其中五家医院已经使用 Raisin ATB 或 Antibiolor 等网络监测抗生素使用情况,并提供了各种评估工具的反馈。

结果

ConsoRes 的数据收集导入功能符合药剂师、细菌学家或临床医生的期望,因为它用户友好,防止了冗余数据输入,并允许将数据传输到国家数据库。导入医院组织结构可防止在以前的数据库中注意到的消耗分配错误,并使比较和基准分析可靠。ConsoRes 还为医院内所有注册用户(负责病房的临床医生或具有横向功能的药剂师、细菌学家)提供快速的消耗数据反馈。自动标准报告或在线定制报告的可用性是 ConsoRes 的另一个主要特点。

结论

除了提供监测外,局部抗生素使用和细菌耐药性的同时分析还应通过允许每个用户在抗生素管理框架内实施行动来产生教育影响。

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