护理机构中的抗生素管理。
Antibiotic Stewardship in Nursing Facilities.
机构信息
University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA.
University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA; University of Wisconsin Hospital and Clinics, Madison, WI, USA.
出版信息
Infect Dis Clin North Am. 2017 Dec;31(4):619-638. doi: 10.1016/j.idc.2017.07.008.
Misuse and overuse of antibiotic therapy is a frequent cause of resident harm in nursing facilities. As a result, newly released policy and regulatory initiatives will require antibiotic stewardship programs (ASPs) in nursing facilities. Although implementing ASPs can be challenging, improving the quality of antibiotic prescribing is achievable in this setting. The authors review the determinants of antibiotic prescribing in nursing facilities, strategies to improve antibiotic prescribing in this setting, current status of ASPs in nursing facilities, and steps that facilities can take to enhance existing ASP structure and process.
抗生素治疗的误用和滥用是导致护理机构居民伤害的常见原因。因此，新发布的政策和法规举措将要求护理机构实施抗生素管理计划（ASPs）。尽管实施 ASP 可能具有挑战性，但在这种情况下可以提高抗生素处方的质量。作者回顾了护理机构中抗生素处方的决定因素、改善该环境中抗生素处方的策略、护理机构中 ASP 的现状，以及设施可以采取的措施来增强现有 ASP 的结构和流程。
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