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2011 - 2014年在马里兰州一家三级护理医院对一种减少重症监护病房不必要尿液培养的新型干预措施的评估。

Evaluation of a Novel Intervention to Reduce Unnecessary Urine Cultures in Intensive Care Units at a Tertiary Care Hospital in Maryland, 2011-2014.

作者信息

Epstein Lauren, Edwards Jonathan R, Halpin Alison Laufer, Preas Michael Anne, Blythe David, Harris Anthony D, Hunt David, Johnson J Kristie, Filippell Mala, Gould Carolyn V, Leekha Surbhi

机构信息

1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.

3University of Maryland Medical Center,Baltimore,Maryland.

出版信息

Infect Control Hosp Epidemiol. 2016 May;37(5):606-9. doi: 10.1017/ice.2016.9. Epub 2016 Feb 2.

DOI:10.1017/ice.2016.9
PMID:26832608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6557164/
Abstract

We assessed the impact of a reflex urine culture protocol, an intervention aimed to reduce unnecessary urine culturing, in intensive care units at a tertiary care hospital. Significant decreases in urine culturing rates and reported rates of catheter-associated urinary tract infection followed implementation of the protocol.

摘要

我们评估了一项反射性尿培养方案的影响，该方案是一项旨在减少不必要尿培养的干预措施，应用于一家三级医院的重症监护病房。实施该方案后，尿培养率以及报告的导管相关性尿路感染率显著下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5e/6557164/834c095893fc/nihms-1029881-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5e/6557164/4e50474b9528/nihms-1029881-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5e/6557164/46df1524000c/nihms-1029881-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5e/6557164/834c095893fc/nihms-1029881-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5e/6557164/4e50474b9528/nihms-1029881-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5e/6557164/46df1524000c/nihms-1029881-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d5e/6557164/834c095893fc/nihms-1029881-f0003.jpg

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本文引用的文献

1
Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update.急性护理医院预防导管相关尿路感染的策略：2014年更新版
Infect Control Hosp Epidemiol. 2014 Sep;35 Suppl 2:S32-47.
2
A negative urinalysis rules out catheter-associated urinary tract infection in trauma patients in the intensive care unit.尿液分析阴性排除了重症监护病房创伤患者的导管相关尿路感染。
J Am Coll Surg. 2013 Jul;217(1):162-6. doi: 10.1016/j.jamcollsurg.2013.02.030. Epub 2013 Apr 30.
3
Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital.
Diagnostic stewardship for blood cultures in the pediatric intensive care unit: lessons in implementation from the BrighT STAR Collaborative.
儿科重症监护病房血培养的诊断管理：来自BrighT STAR协作组的实施经验教训。
Antimicrob Steward Healthc Epidemiol. 2024 Sep 25;4(1):e148. doi: 10.1017/ash.2024.416. eCollection 2024.
4
Implementing diagnostic stewardship to improve diagnosis of urinary tract infections across three medical centers: A qualitative assessment.实施诊断管理以改善三个医疗中心的尿路感染诊断：定性评估。
Infect Control Hosp Epidemiol. 2023 Dec;44(12):1932-1941. doi: 10.1017/ice.2023.106. Epub 2023 Jul 10.
5
Leveraging diagnostic stewardship within antimicrobial stewardship programmes.在抗菌药物管理计划中利用诊断管理
Drugs Context. 2023 Feb 20;12. doi: 10.7573/dic.2022-9-5. eCollection 2023.
6
Can Electronic Clinical Decision Support Systems Improve the Diagnosis of Urinary Tract Infections? A Systematic Review and Meta-Analysis.电子临床决策支持系统能否改善尿路感染的诊断？一项系统评价与Meta分析
Open Forum Infect Dis. 2022 Dec 28;10(1):ofac691. doi: 10.1093/ofid/ofac691. eCollection 2023 Jan.
7
Applying Diagnostic Stewardship to Proactively Optimize the Management of Urinary Tract Infections.应用诊断管理以主动优化尿路感染的管理。
Antibiotics (Basel). 2022 Feb 24;11(3):308. doi: 10.3390/antibiotics11030308.
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Diagnostic Stewardship in the Pediatric Intensive Care Unit.儿科重症监护病房的诊断管理。
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Arch Intern Med. 2000 Mar 13;160(5):673-7. doi: 10.1001/archinte.160.5.673.