Infectiologie, université de Nice Sophia-Antipolis, hôpital de l'Archet, centre hospitalier universitaire de Nice, 151, route de St-Antoine, 06202 Nice, France.
Infectiologie, université de Nice Sophia-Antipolis, hôpital de l'Archet, centre hospitalier universitaire de Nice, 151, route de St-Antoine, 06202 Nice, France.
Med Mal Infect. 2017 Sep;47(5):311-318. doi: 10.1016/j.medmal.2017.03.005. Epub 2017 Apr 28.
Infectious diseases are unpredictable, with heterogeneous clinical presentations, diverse pathogens, and various susceptibility rates to anti-infective agents. These features lead to a wide variety of clinical practices, which in turn strongly limits their evaluation. We have been using a medical table since 2005 to monitor the medical activity in our department. The observation of heterogeneous therapeutic practices led to drafting up our own antibiotic guidelines and to implementing a continuous evaluation of their observance and impact on morbidity and mortality associated with infectious diseases, including adverse effects of antibiotics, duration of hospital stay, use of intensive care, and deaths. The 10-year analysis of medical practices using the medical table is based on more than 10,000 hospitalizations. It shows simplified antibiotic therapies and a reduction in infection-related morbidity and mortality. The medical table is a major tool for antimicrobial stewardship, leading to constant benefits for patients.
传染病是不可预测的，具有异质性的临床表现、多种病原体和对抗感染药物的不同敏感性。这些特点导致了广泛的临床实践，而这反过来又强烈限制了对它们的评估。自 2005 年以来，我们一直在使用医疗表格来监测我们科室的医疗活动。观察到异质的治疗实践导致我们制定了自己的抗生素指南，并对其遵守情况及其对与传染病相关的发病率和死亡率的影响进行了持续评估，包括抗生素的不良反应、住院时间、使用重症监护和死亡。使用医疗表格对医疗实践进行的 10 年分析基于超过 10000 次住院治疗。它显示了简化的抗生素治疗和感染相关发病率和死亡率的降低。医疗表格是抗菌药物管理的主要工具，为患者带来持续的益处。
