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印度一家三级护理医院出院时的抗菌药物处方:在社区层面减少使用的一个潜在目标。

Antimicrobial prescription at the time of discharge from a tertiary-care hospital in India: A potential target for reducing use at the community level.

作者信息

Gupta Stuti, Gunjiyal Jacinta, Varma Sharin, Malhotra Rajesh, Shrivastav Sharad, Parveen Rasna, Mathur Purva

机构信息

Department of Microbiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Antimicrob Steward Healthc Epidemiol. 2022 Dec 9;2(1):e196. doi: 10.1017/ash.2022.308. eCollection 2022.

DOI:10.1017/ash.2022.308
PMID:36712474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9879928/
Abstract

We evaluated the appropriateness of antibiotic prescriptions at discharge from a tertiary-care hospital in India. Of the 790 adult patients included, 84.4% received antibiotics. Microbiological specimens were taken from 67.3% of these patients, and pathogens were identified in 28.8% of cases. Overuse of antimicrobials at hospital discharge should be curtailed.

摘要

我们评估了印度一家三级医院出院时抗生素处方的合理性。在纳入的790名成年患者中,84.4%的患者接受了抗生素治疗。67.3%的患者采集了微生物标本,28.8%的病例中鉴定出了病原体。应减少医院出院时抗菌药物的过度使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a7/9879928/45ee5fa3ef7a/S2732494X22003084_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a7/9879928/45ee5fa3ef7a/S2732494X22003084_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a7/9879928/45ee5fa3ef7a/S2732494X22003084_fig1.jpg

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本文引用的文献

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Antibiotic Overuse and Stewardship at Hospital Discharge: The Reducing Overuse of Antibiotics at Discharge Home Framework.抗生素过度使用与出院管理:减少出院时抗生素过度使用的框架。
Clin Infect Dis. 2022 May 3;74(9):1696-1702. doi: 10.1093/cid/ciab842.
2
Assessment of core capacities for antimicrobial stewardship practices in indian hospitals: Report from a multicentric initiative of global health security agenda.印度医院抗菌药物管理实践核心能力评估:全球卫生安全议程多中心倡议的报告
Indian J Med Microbiol. 2019 Jul-Sep;37(3):309-317. doi: 10.4103/ijmm.IJMM_19_445.
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Effect of a Health Care System Respiratory Fluoroquinolone Restriction Program To Alter Utilization and Impact Rates of Clostridium difficile Infection.
医疗保健系统呼吸氟喹诺酮类药物限制计划对艰难梭菌感染的使用率和感染率的影响。
Antimicrob Agents Chemother. 2017 May 24;61(6). doi: 10.1128/AAC.00125-17. Print 2017 Jun.
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Antimicrobial stewardship programme (AMSP) practices in India.印度的抗菌药物管理计划(AMSP)实践。
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Effects of fluoroquinolone restriction (from 2007 to 2012) on Clostridium difficile infections: interrupted time-series analysis.氟喹诺酮类药物限制使用(2007年至2012年)对艰难梭菌感染的影响:间断时间序列分析
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Antibiotic prescribing at the transition from hospitalization to discharge: a target for antibiotic stewardship.从住院到出院过渡阶段的抗生素处方:抗生素管理的一个目标
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Global assessment of exposure to faecal contamination through drinking water based on a systematic review.基于系统评价的全球饮用水粪便污染暴露评估
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