Department of Pharmacy, Grant Medical Center, OhioHealth, Columbus, OH.
Am J Health Syst Pharm. 2019 May 17;76(Supplement_2):S41-S48. doi: 10.1093/ajhp/zxy081.
The results and methods of a pharmacist-driven multifaceted educational intervention on the appropriate management of asymptomatic bacteriuria (ABU) within an emergency department (ED) are reported.
A retrospective, single-center cohort study was conducted to evaluate the effects of an educational intervention aimed at reducing the rates of mismanaged ABU within an ED at a Level 1 trauma center. The education involved a multifaceted approach directed by pharmacists and involved a handout and algorithm communicated through in-person discussions, emails, and general distribution. In order to evaluate the effectiveness of this education the preintervention and postintervention rates of inappropriate treatments were determined through a retrospective chart review. The primary outcome was the difference in the frequency of inappropriately treated ABU between the preintervention and postintervention periods.
A total of 268 patients were included in the study for review (134 in each group). There was a 16.5% reduction in the frequency of patients that had ABU inappropriately treated as a urinary tract infection in the postintervention period compared with the preintervention period (31 [23.1%] versus 53 [39.6%], p = 0.004).
Pharmacist-driven education was effecitive in reducing the rates of inappropriately used antibiotics for ABU within an ED.
报告药师主导的多方面教育干预在急诊科（ED）中对无症状菌尿（ABU）的合理管理的结果和方法。
进行了一项回顾性、单中心队列研究，以评估一项旨在降低 1 级创伤中心 ED 中 ABU 管理不当率的教育干预的效果。该教育涉及由药剂师指导的多方面方法，涉及通过面对面讨论、电子邮件和一般分发传达的传单和算法。为了评估该教育的有效性，通过回顾性图表审查确定了干预前后不适当治疗的发生率。主要结局是干预前后 ABU 治疗不当的频率差异。
共有 268 名患者纳入研究进行回顾（每组 134 名）。与干预前相比，干预后将 ABU 不当治疗为尿路感染的患者频率降低了 16.5%（31 [23.1%] 与 53 [39.6%]，p = 0.004）。
在 ED 中，药剂师主导的教育可有效降低 ABU 中抗生素使用不当的发生率。
Zotero 插件