Hoover Susan E
Internal Medicine, University of South Dakota Sanford School of Medicine.
Center for Health Outcomes and Prevention Research, Sanford Research, Sioux Falls, South Dakota.
S D Med. 2017 Apr;70(4):177-178.
A patient's transition from hospitalization to discharge may represent an additional opportunity for antibiotic stewardship.
We reviewed antimicrobial drugs prescribed at discharge to patients at our medical center over a nine-month period, and calculated the total duration of inpatient and outpatient antibiotic therapy.
The median duration of inpatient antibiotics was three days (interquartile range [IQR] four days), of outpatient antibiotics was seven days (IQR six days), and of total antibiotics 10 days (IQR six days).
Our results align with the only previously published study of oral antibiotics prescribed at hospital discharge, both in the duration of inpatient and outpatient therapy and in the fact that about 60 percent of the treatment duration occurred after discharge. However, the median total antibiotic duration of 10 days is longer than that recommended by national and institutional guidelines for some of the most common infections in hospitalized patients.
患者从住院到出院的过渡阶段可能是抗菌药物管理的又一契机。
我们回顾了在九个月期间于我院医疗中心出院患者所开具的抗菌药物，并计算了住院和门诊抗生素治疗的总时长。
住院抗生素治疗的中位时长为三天（四分位间距[IQR]为四天），门诊抗生素治疗的中位时长为七天（IQR为六天），而总的抗生素治疗时长为十天（IQR为六天）。
我们的结果与此前唯一一项关于出院时开具口服抗生素的研究相符，无论是住院和门诊治疗的时长，还是约60%的治疗时长发生在出院之后这一事实。然而，总的抗生素治疗中位时长十天，比国家和机构指南针对住院患者一些最常见感染所推荐的时长要长。
