抗菌药物管理计划:巴西儿科重症监护病房的行动和教育。

IF 1.3 4区 医学 Q3 NURSING
Revista Latino-Americana De Enfermagem Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7582.4656
Eliane Carlosso Krummenauer, Mariana Portela de Assis, Mara Rubia Santos Gonçalves, Magda Machado de Miranda Costa, Rochele Mosmann Menezes, Fabio Araujo Motta, Jane Dagmar Pollo Renner, Marcelo Carneiro
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引用次数: 0

摘要

评估巴西儿科重症监护病房(PED-ICU)抗菌药物管理计划(ASP)的教育内容和行动。这是一项多中心前瞻性研究,于2022年10月至2023年1月期间进行,使用电子表格。分析了针对专业人员和患者的微生物耐药性教育行动,以及改善处方的干预措施,如前瞻性审核、反馈和预授权。数据按地点、护理概况和床位数分组,采用参数和非参数统计方法进行分析。在219个设有专业进修计划的专科医院中,44.7%位于东南部,58.9%为专业人士提供继续教育。只有6.8%的人开展了对患者和同伴的教育活动,主要集中在200张床位以上的公立医院。教育部分显示出薄弱环节,特别是在小型医院,而改善处方的行动更加统一,实施了70.8%。私立医院以及东南部和南部的医院在坚持管理实践方面表现突出。该研究揭示了巴西儿科重症监护室在实施asp方面的显著差异,强调需要加强继续教育并让所有相关人员参与,以提高依从性,减少抗菌素耐药性并改善儿科护理。背景:(1)巴西PED-ICU的ASP在抗菌教育和处方方面存在差距。背景:(2)教育不足影响了巴西抗菌素的合理使用。背景:(3)地区不平等对公立和私立医院ASP构成挑战。背景:(4)巴西较大的私立医院在儿科-重症监护病房坚持ASP方面处于领先地位。背景:(5)教育策略和审核加强ASP的抗菌药物控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Antimicrobial Stewardship Program: actions and education in Brazilian pediatric intensive care units.

Antimicrobial Stewardship Program: actions and education in Brazilian pediatric intensive care units.

Antimicrobial Stewardship Program: actions and education in Brazilian pediatric intensive care units.

Antimicrobial Stewardship Program: actions and education in Brazilian pediatric intensive care units.

to evaluate the educational elements and actions of the Antimicrobial Stewardship Program (ASP) in Pediatric Intensive Care Units (PED-ICU) in Brazil.

this was a multicenter, prospective study carried out between October 2022 and January 2023, using an electronic form. Educational actions for professionals and patients on microbial resistance were analyzed, as well as interventions to improve prescribing, such as prospective audits, feedback and pre-authorization. The data was grouped by location, care profile and number of beds and analyzed using parametric and non-parametric statistical methods.

of the 219 PED-ICUs with ASP in place, 44.7% were in the Southeast and 58.9% carried out continuing education for professionals. Only 6.8% promoted educational activities for patients and companions, concentrated in public hospitals with more than 200 beds. The education component showed weaknesses, especially in smaller hospitals, while actions to improve prescribing were more consolidated, with 70.8% implemented. Private hospitals and those in the Southeast and South stood out in terms of adherence to management practices.

the study revealed significant disparities in the implementation of ASPs in Brazilian PED-ICUs, highlighting the need to strengthen continuing education and engage all those involved in order to increase adherence, reduce antimicrobial resistance and improve pediatric care.

Background: (1) ASP in Brazilian PED-ICU shows gaps in antimicrobial education and prescription.

Background: (2) Insufficient education compromises the rational use of antimicrobials in Brazil.

Background: (3) Regional inequality challenges ASP in public and private hospitals.

Background: (4) Larger, private hospitals lead the way in adherence to ASP in PED-ICU in Brazil.

Background: (5) Educational strategies and audits strengthen antimicrobial control in ASP.

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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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