...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Clinical medicine: journal of the Royal College of Physicians of London >Identifying antibiotic stewardship interventions to meet the NHS England CQUIN: an evaluation of antibiotic prescribing against published evidence-based antibiotic audit tools
【24h】

Identifying antibiotic stewardship interventions to meet the NHS England CQUIN: an evaluation of antibiotic prescribing against published evidence-based antibiotic audit tools

机译：确定符合英国NHS CQUIN标准的抗生素管理干预措施：根据已发布的循证抗生素审核工具对抗生素处方进行评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Evidence-based audit tools were used to identify the antibiotic stewardship improvements necessary to meet the NHS England targets in a 750-bed teaching hospital. Antibiotic prescribing was reviewed against published evidence-based audit tools for 139 patients treated with antibiotics. Severe community-acquired pneumonia (CAP) median course length was 8.5 days. Ninety-six percent of non-severe CAP patients were initiated on intravenous antibiotics (IV); median antibiotic course length 9 days. Twenty-six percent of urinary tract infection (UTI) patients without an indwelling catheter met the UTI diagnostic criteria. IV antibiotics initiated in 79% patients with other infections. Of these, 17% met the IV to oral switch criteria at 72 hours but were not switched. On average, antibiotic courses were 19% longer than recommended. Three key areas for improvement consist of: (a) implement the National Institute of Health and Care Excellence UTI Quality Standard - only 38% of patients treated for UTI met the UTI definition; (b) ensure antibiotic course lengths are in line with local prescribing guidelines - antibiotics were continued for 14% longer than recommended in local guidelines; (c) switch antibiotic therapy to oral when switch criteria met - 17% percent of patients initiated on IV antibiotics were eligible for oral switch by 72 hours and were not switched.
机译：基于证据的审计工具被用来确定必要的抗生素管理改进，以达到在拥有750张床的教学医院中达到NHS英格兰目标的目的。根据已发布的循证审核工具对139例接受抗生素治疗的患者进行了抗生素处方复查。严重的社区获得性肺炎（CAP）中位病程为8.5天。 96％的非严重CAP患者开始使用静脉注射抗生素（IV）;中位抗生素疗程长9天。没有留置导管的尿路感染（UTI）患者中有26％符合UTI诊断标准。 79％的其他感染患者开始使用IV抗生素。其中，有17％的患者在72小时达到了从IV到口服的转换标准，但没有转换。平均而言，抗生素疗程比推荐时间长19％。需要改进的三个关键领域包括：（a）实施美国国立卫生研究院卓越的UTI质量标准-只有38％接受UTI治疗的患者符合UTI定义; （b）确保抗生素疗程的长度符合当地的处方指南-抗生素的使用时间比当地指南的建议长14％; （c）符合转换标准时将抗生素治疗改为口服-接受IV抗生素治疗的患者中有17％的患者有资格在72小时内进行口服转换，而未进行转换。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号