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感染病学在泌尿外科专业中所占比例是多少?:一项强调泌尿外科抗生素管理重要性的初步研究

[What is the proportion of infectiology in the specialization urology? : A pilot study to underline the significance of Antibiotic Stewardship in urology].

作者信息

Schneidewind Laila, Stangl Fabian P, Dräger Desiree L, Wagenlehner Florian M E, Hakenberg Oliver W, Kranz Jennifer

机构信息

Urologische Klinik und Poliklinik, Universitätsmedizin Rostock, Schillingallee 35, 18055, Rostock, Deutschland.

Universitätsklinik für Urologie, Inselspital Bern, Bern, Schweiz.

出版信息

Urologie. 2022 Nov;61(11):1237-1242. doi: 10.1007/s00120-022-01898-1. Epub 2022 Jul 13.

Abstract

BACKGROUND

Urinary tract infections account for one of the most bacterial infectious diseases worldwide.

OBJECTIVES

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.

MATERIAL AND METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

背景

尿路感染是全球最常见的细菌性传染病之一。

目的

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。

材料与方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7818/9636103/73e58c679990/120_2022_1898_Fig1_HTML.jpg

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