Poteete Carrie, Scaletta Joseph M
University of Kansas Medical Center, Kansas City, MO.
Kansas Department of Health and Environment, Kansas City, MO.
Am J Infect Control. 2017 Jan 1;45(1):42-45. doi: 10.1016/j.ajic.2016.08.016.
The availability of effective antibiotics is considered one of the most important developments in medicine. However, many organisms that were once susceptible to common antibiotics are becoming resistant. Antimicrobial stewardship programs (ASPs) are considered to be vital for combating the emergence of resistance. To understand current antimicrobial stewardship practices in Kansas, the authors designed a 36-question survey. Results of this survey will be used to develop a coordinated, public health strategy for improving current practices.
To assess the number of ASPs and general antimicrobial stewardship practices in Kansas, a 36-question survey was developed and sent out to infection preventionists at all 154 acute care facilities in Kansas via e-mail.
Of the 154 eligible facilities, 129 (83.7%) responded to this survey, and 61 of 127 (48%) had a formal committee devoted to antimicrobial stewardship. Acute care facilities were more likely than critical access facilities to have formal committees and were also more likely to engage in core stewardship strategies.
In a world with increasing microbial resistance, the role of public health in antimicrobial stewardship is becoming more important. After surveying all hospitals in Kansas about antimicrobial stewardship practices, we realize that critical access hospitals have the greatest need for support and may see the greatest opportunities for development and improvements.
有效抗生素的出现被认为是医学领域最重要的进展之一。然而，许多曾经对常见抗生素敏感的微生物正变得具有耐药性。抗菌药物管理计划（ASP）被认为对于对抗耐药性的出现至关重要。为了解堪萨斯州目前的抗菌药物管理实践，作者设计了一项包含36个问题的调查。该调查结果将用于制定一项协调一致的公共卫生战略，以改进当前的实践。
为评估堪萨斯州抗菌药物管理计划的数量和一般抗菌药物管理实践，制定了一项包含36个问题的调查，并通过电子邮件发送给堪萨斯州所有154家急性护理机构的感染预防专家。
在154家符合条件的机构中，129家（83.7%）回复了该调查，127家中有61家（48%）设有专门负责抗菌药物管理的正式委员会。急性护理机构比基层医疗机构更有可能设有正式委员会，也更有可能采用核心管理策略。
在一个微生物耐药性不断增加的世界里，公共卫生在抗菌药物管理中的作用正变得越来越重要。在对堪萨斯州所有医院的抗菌药物管理实践进行调查后，我们意识到基层医疗医院最需要支持，也可能看到最大的发展和改进机会。
