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首页> 外文期刊>The Journal of pharmacy technology: jPT : official publication of the Association of Pharmacy Technicians >Evaluating the Addition of a Clinical Pharmacist Service to a Midlevel Provider-Driven Culture Follow-up Program in a Community Emergency Department
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Evaluating the Addition of a Clinical Pharmacist Service to a Midlevel Provider-Driven Culture Follow-up Program in a Community Emergency Department

机译：评估在社区急诊部门的MIDLEVEL提供者驱动的文化后续计划中添加临床药剂师服务

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Background: The impact that an antimicrobial stewardship program can have on an inpatient setting has been well documented, but there are limited data on the use of an antimicrobial stewardship program in the emergency department (ED). Objective: The objective of this study was to assess the impact of adding a pharmacist service to a midlevel provider-driven culture follow-up program in the ED on achieving optimal therapy. Methods: This was a quasi-experimental study with designations of pre- and post-interventions conducted at a large community hospital with the pre-intervention phase occurring from June 1, 2019, to August 31, 2019, and the post-intervention phase occurring from January 1, 2020, to March 31, 2020. The primary outcome was optimal antimicrobial therapy: a composite of optimal antibiotic, dose, and duration, prescribed after the culture resulted. Secondary outcomes included optimal antibiotic, dose, duration, and return to the ED within 30 days due to infection. Results: Optimal antimicrobial therapy received after the culture resulted occurred in 59 patients (26.81%) in the pre-implementation phase and 40 patients (43.96%) in the implementation phase ( P = .003). For the secondary outcomes, optimal antibiotic choice occurred in 115 patients (52.27%) in the pre-implementation phase and 66 patients (72.53%) in the implementation phase ( P = .001). Optimal antibiotic dose occurred in 113 patients (51.36%) in the pre-implementation phase and 65 patients (71.43%) in the implementation phase ( P = .001). Optimal antibiotic duration occurred in 65 patients (29.55%) in the pre-implementation phase and 40 patients (43.96%) in the implementation phase ( P = .014). Conclusions: The addition of a clinical pharmacist service in a midlevel provider-driven ED culture callback program resulted in an increased rate of achieving optimal antimicrobial therapy.
机译：背景：抗菌药物管理计划对住院患者环境的影响已被充分记录，但急诊科（ED）使用抗菌药物管理计划的数据有限。目的：本研究的目的是评估在教育署的中层提供者驱动的文化随访计划中增加药剂师服务对实现最佳治疗的影响。方法：这是一项准实验研究，在一家大型社区医院进行干预前后的指定，干预前阶段为2019年6月1日至2019年8月31日，干预后阶段为2020年1月1日至2020年3月31日。主要结果是最佳抗菌治疗：最佳抗生素、剂量和持续时间的组合，在培养产生后开出。次要结果包括最佳抗生素、剂量、持续时间，以及因感染在30天内返回急诊室。结果：在培养产生后，59名患者（26.81%）在预实施阶段接受了最佳抗菌治疗，40名患者（43.96%）在实施阶段接受了最佳抗菌治疗（P=0.003）。至于次要结果，115名患者（52.27%）在实施前阶段选择了最佳抗生素，66名患者（72.53%）在实施阶段选择了最佳抗生素（P=0.001）。最佳抗生素剂量出现在113名患者（51.36%）的实施前阶段和65名患者（71.43%）的实施阶段（P=0.001）。在实施前阶段65名患者（29.55%）和实施阶段40名患者（43.96%）出现了最佳抗生素持续时间（P=0.014）。结论：在中级提供者驱动的ED培养回调计划中增加临床药师服务，提高了获得最佳抗菌治疗的比率。

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