Division of Infectious Diseases, Faculty of Medicine, Thammasat University, Prathum Thani, Thailand.
Division of Infectious Diseases, Lerdsin Hospital, Bangkok, Thailand.
Infect Control Hosp Epidemiol. 2023 Jul;44(7):1199-1203. doi: 10.1017/ice.2022.201. Epub 2022 Aug 22.
In this quasi-experimental study, implementing a procalcitonin and Clinical Pulmonary Infection Score (CPIS) successfully reduced inappropriate antibiotic use among severely-to-critically ill COVID-19 patients, multidrug-resistant organisms, and invasive fungal infections during the intervention period in 2 medical centers. However, this strategy did not improve inappropriate antibiotic use among mildly-to-moderately ill COVID-19 patients.
在这项准实验研究中,在 2 家医疗中心实施降钙素原和临床肺部感染评分(CPIS)策略成功减少了危重症 COVID-19 患者、多重耐药菌和侵袭性真菌感染的经验性抗生素使用,但并未改善轻至中度 COVID-19 患者的抗生素使用不当情况。