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通过门诊管理倡议提高抗生素使用效率。

Improving antibiotic utilization through an outpatient stewardship initiative.

作者信息

Hiryak Kayla M, Kludjian Geena A, Gallagher Jason C, Cavaretta Marissa J

机构信息

Population Health/Enabling Services, Lehigh Valley Health Network, Allentown, Pennsylvania.

Department of Pharmacy, Cooper University Hospital, Camden, New Jersey.

出版信息

Antimicrob Steward Healthc Epidemiol. 2023 Jul 10;3(1):e120. doi: 10.1017/ash.2022.367. eCollection 2023.

DOI:10.1017/ash.2022.367
PMID:37502250
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10369438/
Abstract

Antibiotic prescribing errors at hospital discharge are common. We designed a pharmacist-driven antimicrobial stewardship program to evaluate prescriptions prior to being transmitted to community pharmacies. Drug-related problems were identified in prescriptions for 48 of 149 patients, resulting in 55 interventions. Review at discharge improves outpatient prescribing of antimicrobials.

摘要

医院出院时的抗生素处方错误很常见。我们设计了一个由药剂师主导的抗菌药物管理计划,以便在处方传至社区药房之前进行评估。在149名患者中的48名患者的处方中发现了与药物相关的问题,从而进行了55次干预。出院时的审查改善了门诊抗菌药物的处方情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/10369438/d2c200748215/S2732494X22003679_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/10369438/d2c200748215/S2732494X22003679_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/150f/10369438/d2c200748215/S2732494X22003679_fig1.jpg

相似文献

1
Improving antibiotic utilization through an outpatient stewardship initiative.通过门诊管理倡议提高抗生素使用效率。
Antimicrob Steward Healthc Epidemiol. 2023 Jul 10;3(1):e120. doi: 10.1017/ash.2022.367. eCollection 2023.
2
Impact of clinical pharmacist discharge prescription review on the appropriateness of antibiotic therapy: a retrospective comparison.临床药师出院带药处方审核对抗生素治疗适宜性的影响:回顾性比较。
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本文引用的文献

1
Pharmacist-Driven Transitions of Care Practice Model for Prescribing Oral Antimicrobials at Hospital Discharge.药师主导的出院患者口服抗菌药物管理模式
JAMA Netw Open. 2022 May 2;5(5):e2211331. doi: 10.1001/jamanetworkopen.2022.11331.
2
Antibiotic Overuse After Hospital Discharge: A Multi-hospital Cohort Study.出院后抗生素过度使用:一项多医院队列研究。
Clin Infect Dis. 2021 Dec 6;73(11):e4499-e4506. doi: 10.1093/cid/ciaa1372.
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Post-discharge oral antimicrobial use among hospitalized patients across an integrated national healthcare network.
住院患者出院后在综合性国家医疗保健网络中使用口服抗菌药物的情况。
Clin Microbiol Infect. 2020 Mar;26(3):327-332. doi: 10.1016/j.cmi.2019.09.016. Epub 2019 Oct 7.
4
Total duration of antimicrobial therapy resulting from inpatient hospitalization.住院患者抗菌治疗的总持续时间。
Infect Control Hosp Epidemiol. 2019 Aug;40(8):847-854. doi: 10.1017/ice.2019.118. Epub 2019 May 28.
5
Shortened Courses of Antibiotics for Bacterial Infections: A Systematic Review of Randomized Controlled Trials.抗生素治疗细菌感染的疗程缩短:随机对照试验的系统评价。
Pharmacotherapy. 2018 Jun;38(6):674-687. doi: 10.1002/phar.2118. Epub 2018 May 23.
6
An Evaluation of Antibiotic Prescribing Practices Upon Hospital Discharge.出院时抗生素处方行为的评估
Infect Control Hosp Epidemiol. 2017 Mar;38(3):353-355. doi: 10.1017/ice.2016.276. Epub 2016 Nov 28.
7
Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America.实施抗生素管理计划:美国传染病学会和美国医疗保健流行病学学会指南
Clin Infect Dis. 2016 May 15;62(10):e51-77. doi: 10.1093/cid/ciw118. Epub 2016 Apr 13.
8
Posthospital medication discrepancies: prevalence and contributing factors.出院后用药差异:患病率及影响因素
Arch Intern Med. 2005 Sep 12;165(16):1842-7. doi: 10.1001/archinte.165.16.1842.