Duke Antimicrobial Stewardship Outreach Network (DASON), Duke University Medical Center, Durham, NC.
Duke Antimicrobial Stewardship Outreach Network (DASON), Duke University Medical Center, Durham, NC.
Am J Med. 2022 Jul;135(7):828-835. doi: 10.1016/j.amjmed.2022.03.019. Epub 2022 Mar 31.
Antimicrobial agents are among the most frequently prescribed medications during hospitalization. However, approximately 30% to 50% or more of inpatient antimicrobial use is unnecessary or suboptimal. Herein, we describe 10 common myths of diagnosis and management that often occur in the hospital setting. Further, we discuss supporting data to dispel each of these myths. This analysis will provide hospitalists and other clinicians with a foundation for rational decision-making about antimicrobial use and support antimicrobial stewardship efforts at both the patient and institutional levels.
抗菌药物是住院期间最常开具的药物之一。然而，大约 30%至 50%或更多的住院患者抗菌药物的使用是不必要的或不理想的。在此，我们描述了 10 种在医院环境中经常出现的常见诊断和管理误区。此外，我们还讨论了支持这些误区的相关数据。这项分析将为医院医师和其他临床医生提供合理决策抗菌药物使用的基础，并支持在患者和机构层面开展抗菌药物管理工作。
