抗生素管理：十年进展。
Antibiotic Stewardship: A Decade of Progress.
机构信息
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Halsted 827, Baltimore, MD 21287, USA.
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
出版信息
Infect Dis Clin North Am. 2023 Dec;37(4):659-667. doi: 10.1016/j.idc.2023.06.003. Epub 2023 Aug 1.
Abstract
Antibiotic stewardship has seen transformative change over the past decade. Antibiotic stewardship infrastructure has grown significantly across the spectrum of health care in hospitals, nursing homes, and ambulatory settings, and issues related to improving antibiotic use have become central to high-level policy discussions, regulations, and legislation. Herein we review important events and developments in stewardship across the spectrum of care with a focus on (1) infrastructure and implementation, (2) requirement and regulation, and (3) measurement of antibiotic use and other outcomes.
摘要
抗生素管理在过去十年中发生了重大变革。抗生素管理基础设施在医院、疗养院和门诊环境中得到了显著发展，与改善抗生素使用相关的问题已成为高层政策讨论、法规和立法的核心。本文综述了在整个医疗保健领域中抗生素管理的重要事件和发展，重点关注 (1) 基础设施和实施、(2) 要求和规定以及 (3) 抗生素使用和其他结果的衡量。
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