Buckel Whitney R, Avdic Edina, Carroll Karen C, Gunaseelan Vidhya, Hadhazy Eric, Cosgrove Sara E
1Intermountain Healthcare,Intermountain Medical Center,Murray,Utah.
2Johns Hopkins Health System,The Johns Hopkins Hospital,Baltimore,Maryland.
Infect Control Hosp Epidemiol. 2015 Feb;36(2):217-21. doi: 10.1017/ice.2014.19.
We evaluated the impact of nursing education and stewardship interventions on Clostridium difficile testing and treatment appropriateness. Diarrhea documentation increased for those with positive tests (45% to 70%); pretreatment laxative use decreased (50% to 19%). Appropriate treatment increased for severe infection (57% to 93%), but all asymptomatically colonized patients were treated.
我们评估了护理教育和管理干预措施对艰难梭菌检测及治疗合理性的影响。检测呈阳性者的腹泻记录有所增加（从45%增至70%）；治疗前泻药的使用有所减少（从50%降至19%）。重症感染的合理治疗有所增加（从57%增至93%），但所有无症状定植患者均接受了治疗。
