Manuel Mirón-Rubio, Unidad de Hospitalización a Domicilio. Hospital Universitario de Torrejón. Spain.
Rev Esp Quimioter. 2021 Sep;34 Suppl 1(Suppl1):18-21. doi: 10.37201/req/s01.05.2021. Epub 2021 Sep 30.
Hospital at home units allow the treatment of moderate and severe infections by administering intravenous antibiotics to patients who would otherwise have to remain hospitalised. Increasing antibiotic resistance adds an element of difficulty to outpatient treatment of infections because multiple daily doses of antimicrobials or combinations of antimicrobials are sometimes required. This manuscript discusses some of the challenges of outpatient management of infections with multidrug-resistant microorganisms and shows the main antibiotic resistances and the outcomes of treatment of these infections in Spanish home hospitalisation units.
家庭医院病房可以为那些原本需要住院治疗的中度和重度感染患者提供静脉内抗生素治疗。抗生素耐药性的增加为感染的门诊治疗增加了难度,因为有时需要每日多次给予抗菌药物或联合使用抗菌药物。本文讨论了门诊管理多重耐药微生物感染的一些挑战,并展示了西班牙家庭住院病房中这些感染的主要抗生素耐药性和治疗结果。