Stuart R L, Marshall C, Orr E, Bennett N, Athan E, Friedman D, Reilly M
Department of Infectious Diseases, Monash Health, Melbourne, Australia.
Department Medicine, Monash University, Melbourne, Australia.
Intern Med J. 2015 May;45(5):576-80. doi: 10.1111/imj.12740.
This study assessed infection prevention and antimicrobial stewardship (AMS) practices in Australian residential aged-care facilities (RACF). Two hundred and sixty-five surveys (15.6%) were completed with all states represented and the majority (177 (67.3%)) privately run. Only 30.6% RACF had infection control trained staff on site. Few facilities had AMS policies, only 14% had antimicrobial prescribing restrictions. Most facilities offered vaccination to residents (influenza vaccination rates >75% in 73% of facilities), but pneumococcal vaccination was poor.
本研究评估了澳大利亚老年护理机构（RACF）的感染预防和抗菌药物管理（AMS）措施。共完成了265份调查问卷（占15.6%），涵盖所有州，其中大多数（177份（67.3%））为私立机构。只有30.6%的老年护理机构有现场接受过感染控制培训的工作人员。很少有机构制定抗菌药物管理政策，只有14%的机构对抗菌药物处方有限制。大多数机构为居民提供疫苗接种（73%的机构流感疫苗接种率>75%），但肺炎球菌疫苗接种情况较差。
