Hacettepe University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Hacettepe, A. Adnan Saygun Street, 06230 Altındag/Ankara.
Hacettepe University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Hacettepe, A. Adnan Saygun Street, 06230 Altındag/Ankara.
Int J Infect Dis. 2022 Feb;115:201-207. doi: 10.1016/j.ijid.2021.12.315. Epub 2021 Dec 6.
One of the most important public health concerns is the ever-growing problem of antibiotic resistance. Importantly, the rate of introduction of new molecules into clinical practice has slowed down considerably. Moreover, the rapid emergence of resistance shortens the effective 'lifespan' of these molecules.
The quality of care before and after active intervention and feedback was evaluated in patients diagnosed with sepsis/septic shock or ventilator-associated pneumonia (VAP) in the ICUs of Hacettepe University Adult and Oncology Hospitals.
There was a significant increase in total scores. Significant improvements were achieved in the management of these patients in terms of requests for necessary diagnostic tests, and the prolonged infusion of beta-lactam agents.
Implementation of an ASP in centers where antimicrobial management of ICU patients is largely controlled by infectious diseases specialists remains a feasible strategy that leads to better patient care.
抗生素耐药性问题日益严重，是最重要的公共卫生问题之一。重要的是，新分子引入临床实践的速度已经大大放缓。此外，耐药性的迅速出现缩短了这些分子的有效“寿命”。
评估在哈塞泰佩大学成人和肿瘤医院重症监护病房（ICUs）中诊断为败血症/感染性休克或呼吸机相关性肺炎（VAP）的患者在积极干预和反馈前后的护理质量。
总评分显著增加。在这些患者的管理方面取得了显著的改善，包括请求进行必要的诊断测试，以及延长β-内酰胺类药物的输注时间。
在感染病专家主要控制重症监护病房患者抗菌药物管理的中心实施抗菌药物管理策略，仍然是一种可行的策略，可以改善患者的护理。
