以综合征为基础的亚利桑那州熟练护理设施中的抗菌药物管理方法-通过质量改进推动进程。
A syndrome-based approach to antimicrobial stewardship in an Arizona skilled nursing facility-Moving the needle through quality improvement.
机构信息
Patterson LTC Consults, Surprise, AZ; The University of Arizona College of Public Health, Tucson, AZ.
The University of Arizona College of Public Health, Tucson, AZ.
出版信息
Am J Infect Control. 2020 Dec;48(12):1537-1539. doi: 10.1016/j.ajic.2020.07.038. Epub 2020 Aug 4.
In 2015, an Arizona skilled nursing facility implemented an antibiotic stewardship protocol targeting unnecessary prescribing for suspect urinary tract infection. The protocol emphasized auditing of culturing and prescribing practices, feedback to prescribers, engagement of clinical staff, and educational in-services. Between Quarter 4 of 2014 (baseline) and Quarter 1 of 2017, urine culturing, days of antibiotic therapy for suspect urinary tract infection, and Clostridiodes difficile infections per 1,000 resident-days decreased by >50% with no urosepsis events.
2015 年，亚利桑那州的一家熟练护理设施实施了一项抗生素管理方案，针对不必要的疑似尿路感染处方进行目标管理。该方案强调对培养和处方实践进行审核、向开方医生提供反馈、让临床工作人员参与、并提供教育内部服务。在 2014 年第 4 季度（基线）至 2017 年第 1 季度期间，尿培养、疑似尿路感染的抗生素治疗天数和每千名居民天的艰难梭菌感染减少了超过 50%，且没有发生尿脓毒症事件。
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