Schneidewind Laila, Stangl Fabian P, Dräger Desiree L, Wagenlehner Florian M E, Hakenberg Oliver W, Kranz Jennifer
Urologische Klinik und Poliklinik, Universitätsmedizin Rostock, Schillingallee 35, 18055, Rostock, Deutschland.
Universitätsklinik für Urologie, Inselspital Bern, Bern, Schweiz.
Urologie. 2022 Nov;61(11):1237-1242. doi: 10.1007/s00120-022-01898-1. Epub 2022 Jul 13.
Urinary tract infections account for one of the most bacterial infectious diseases worldwide.
The primary aim of this pilot project was to identify the relative percentage of antibiotic use in comparison to all patients in a university medical center for the better establishment of antibiotic stewardship (ABS) programs.
This is an epidemiological pilot project. In the time period of three months it was evaluated which relative percentage of the patients was treated with antibiotics for bacterial urinary tract infection in comparison to all patients.
In summary, about 40% of all urological patients received an antibiotic treatment against urinary tract infections or as perioperative prophylaxis against bacterial infection in the operating room (OR). The antibiotic use at the urological ward is highest in comparison to ambulance or OR.
Infectious diseases, especially bacterial infections, account for a significant part of urology. This knowledge is essential to establish ABS programs and to tackle the progression of antibiotic resistance. Detailed studies are necessary to understand antibiotic prescription practice in urology to develop targeted ABS interventions.
尿路感染是全球最常见的细菌性传染病之一。
该试点项目的主要目的是确定与大学医学中心所有患者相比,抗生素使用的相对百分比,以便更好地建立抗生素管理(ABS)计划。
这是一项流行病学试点项目。在三个月的时间里,评估了与所有患者相比,因细菌性尿路感染接受抗生素治疗的患者的相对百分比。
总之,所有泌尿外科患者中约40%接受了针对尿路感染的抗生素治疗,或作为手术室(OR)围手术期预防细菌感染的用药。与救护车或手术室相比,泌尿外科病房的抗生素使用量最高。
传染病,尤其是细菌感染,在泌尿外科中占很大一部分。这些知识对于建立ABS计划和应对抗生素耐药性的发展至关重要。有必要进行详细研究以了解泌尿外科的抗生素处方实践,从而制定有针对性的ABS干预措施。