后 COVID-19 时代的新医务人员改变了抗生素治疗的质量。

IF 2.9 4区医学 Q2 INFECTIOUS DISEASES

Infectious diseases now Pub Date : 2024-07-24 DOI:10.1016/j.idnow.2024.104957

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引用次数: 0

摘要

目的我们的目的是对续聘医务人员的抗生素处方进行审计：我们在四家具有类似抗菌药物管理计划的机构中对抗生素疗法进行了回顾性多中心审计。我们对大流行前后执业医生的抗生素处方进行了比较。抗生素处方被分为最佳（OAT）、次优（SAT）或不必要的抗生素治疗（UAT）：结果：2023 年共审核了 165 个抗生素疗程：OAT、SAT 和 UAT 的比例分别为 21%、42% 和 38%。165 份处方中有 67 份（41%）由新医生开具。在多变量分析中，与前者相比，后者开具的抗生素处方与病历中较少的感染诊断有关：AOR[CI 95%] 3.68 [1.53-8.83]，UAT：2.76 [1.34-5.68]：结论：确保医务人员更新后能开出足够的抗生素处方需要高水平的教育和培训。

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New medical staff in the post-COVID-19 period entailed altered quality of antibiotic therapy

Objective

Our aim was to audit antibiotic prescriptions from renewed medical staff.

Methods

A retrospective multicenter audit of antibiotic therapies was performed in four institutions with similar antimicrobial stewardship programs. We compared antibiotic prescriptions from physicians practicing before and after the pandemic. Antibiotic prescriptions were classified as optimal (OAT), suboptimal (SAT) or unnecessary antibiotic therapy (UAT).

Results

All in all, 165 antibiotic courses was audited in 2023: OAT, SAT and UAT rates were 21, 42 and 38% respectively. Sixty-seven out of 165 (41%) prescriptions were given by new physicians. In multivariate analysis, antibiotic prescriptions from the latter compared to former were associated with less diagnosis of infection written in patient charts: AOR [CI 95%] 3.68 [1.53–8.83], and with UAT: 2.76 [1.34–5.68].