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法国 ICU 中的自动化监测:是否可行?参与监测网络的法国 ICU 调查结果。

Automated surveillance in French ICUs: is it feasible? Results from a survey in French ICUs participating in a surveillance network.

机构信息

Hospices Civils de Lyon, Hôpital Henry Gabrielle, REA-REZO Surveillance Network, Infections and Antibiotic Resistance in ICU, Saint Genis Laval, Lyon, France; Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Critical Care, Pierre-Bénite, Lyon, France; Public Health, Epidemiology and Evolutionary Ecology of Infectious Diseases, Centre International de Recherche en Infectiologie, INSERM, Lyon, France.

Hospices Civils de Lyon, Hôpital Henry Gabrielle, REA-REZO Surveillance Network, Infections and Antibiotic Resistance in ICU, Saint Genis Laval, Lyon, France; CPIAS Auvergne-Rhône-Alpes, Hospices Civils de Lyon, Hôpital Henry Gabrielle, Saint Genis Laval, Lyon, France.

出版信息

J Hosp Infect. 2021 Sep;115:1-4. doi: 10.1016/j.jhin.2021.05.002. Epub 2021 May 26.

DOI:10.1016/j.jhin.2021.05.002
PMID:34048849
Abstract

A survey was undertaken to evaluate the level of computerization in intensive care units (ICUs) within a French network dedicated to the surveillance of healthcare-associated infections, antimicrobial use (AMU) and antimicrobial resistance (AMR) in ICUs (REA-REZO). Ninety-eight ICUs responded, and patient records were computerized in 57%, antimicrobial prescriptions were computerized in 59% and AMR epidemiology was computerized in 72%. AMU and AMR feedback was provided to the ICU itself for 77% and 65% of ICUs, respectively, and feedback was provided to the national surveillance for 79% and 65% of ICUs, respectively. This study suggests that the level of computerization in ICUs requires further improvement.

摘要

一项调查在法国一个致力于监测 ICU 相关感染、抗菌药物使用(AMU)和 ICU 抗菌药物耐药性(AMR)的网络内进行,旨在评估 ICU 内的计算机化水平(REA-REZO)。98 家 ICU 做出回应,57%的 ICU 实现了患者记录的计算机化,59%的 ICU 实现了抗菌药物处方的计算机化,72%的 ICU 实现了 AMR 流行病学的计算机化。分别有 77%和 65%的 ICU 将 AMU 和 AMR 的反馈提供给 ICU 本身,分别有 79%和 65%的 ICU 将反馈提供给国家监测。本研究表明,ICU 的计算机化水平需要进一步提高。

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