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评估疗养院居民尿路感染的抗生素使用合理性

Measuring Antibiotic Appropriateness for Urinary Tract Infections in Nursing Home Residents.

作者信息

Eure Taniece, LaPlace Lisa L, Melchreit Richard, Maloney Meghan, Lynfield Ruth, Whitten Tory, Warnke Linn, Dumyati Ghinwa, Quinlan Gail, Concannon Cathleen, Thompson Deborah, Stone Nimalie D, Thompson Nicola D

机构信息

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

2Connecticut Department of Public Health,Hartford,Connecticut.

出版信息

Infect Control Hosp Epidemiol. 2017 Aug;38(8):998-1001. doi: 10.1017/ice.2017.96. Epub 2017 May 31.

Abstract

We assessed the appropriateness of initiating antibiotics in 49 nursing home (NH) residents receiving antibiotics for urinary tract infection (UTI) using 3 published algorithms. Overall, 16 residents (32%) received prophylaxis, and among the 33 receiving treatment, the percentage of appropriate use ranged from 15% to 45%. Opportunities exist for improving UTI antibiotic prescribing in NH. Infect Control Hosp Epidemiol 2017;38:998-1001.

摘要

我们使用3种已发表的算法评估了49名因尿路感染(UTI)接受抗生素治疗的养老院(NH)居民中启动抗生素治疗的适宜性。总体而言,16名居民(32%)接受了预防性治疗,在33名接受治疗的居民中,合理使用的百分比在15%至45%之间。在养老院中改善UTI抗生素处方存在机会。《感染控制与医院流行病学》2017年;38:998 - 1001。

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