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高危发热性中性粒细胞减少症患者的抗菌药物降阶梯治疗:成人医院护理人员的态度与实践

Antimicrobial de-escalation in patients with high-risk febrile neutropenia: Attitudes and practices of adult hospital care providers.

作者信息

Gorsline Chelsea A, Staub Milner B, Nelson George E, Nesbitt Whitney J, Dholaria Bhagirathbhai R, Satyanarayana Gowri

机构信息

Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.

Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, Tennessee.

出版信息

Antimicrob Steward Healthc Epidemiol. 2021 Aug 19;1(1):e22. doi: 10.1017/ash.2021.185. eCollection 2021.

Abstract

In a survey of adult hospital providers regarding antibiotic use in the treatment of febrile neutropenia, clinical fellows, and pharmacists showed higher comfort levels with early antimicrobial de-escalation compared to hematology-oncology and transplant infectious diseases physicians. These frontline team members are ideal partners to champion antimicrobial stewardship interventions in febrile neutropenia.

摘要

在一项针对成年医院医护人员关于发热性中性粒细胞减少症治疗中抗生素使用情况的调查中,与血液肿瘤学和移植传染病科医生相比,临床研究员和药剂师对早期抗菌药物降阶梯治疗的接受程度更高。这些一线团队成员是在发热性中性粒细胞减少症中倡导抗菌药物管理干预措施的理想合作伙伴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9bf/9495534/4cb9972ec6c2/S2732494X21001856_fig1.jpg

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