在抗菌药物管理计划下在三级医院实施多学科传染病小组。

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Acta Clinica Belgica Pub Date : 2014-10-01 Epub Date: 2014-07-16 DOI:10.1179/2295333714Y.0000000045
F M Buyle, M Wallaert, N Beck, J Boelens, S Callens, G Claeys, S Deryckere, E Haegeman, I Leroux-Roels, E Sermijn, E Steel, H Robays, L Vandekerckhove, K Vermis, D Vogelaers
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引用次数: 6

摘要

背景:2011年1月,作为抗菌药物管理计划的一部分,根特大学医院的抗菌药物管理团队(AMT)发起了一个由传染病医生、临床微生物学家和临床药剂师组成的多学科传染病团队(MIT)。本研究的目的是描述麻省理工学院提供的推荐的类型和接受率。方法:前瞻性、观察性研究在一家三级保健大学教学医院进行,该医院有1062张床位,非连续住院的成人患者,不包括重症监护病房和儿科。结果:麻省理工学院在87天的观察中传达了432条建议。在293例推荐患者中,中位年龄为57岁(范围:16-91岁),169例(57.7%)为男性。皮肤或软组织感染(14%)、呼吸道感染(13%)、不明病灶感染(11%)、腹部感染(11%)和骨骼感染(8%)最为常见。建议进行额外的临床调查[N = 137(27%)]、调整抗菌药物剂量[N = 42(8%)]、停用抗菌药物[N = 104(21%)]、由肠外药物转为口服药物[N = 39(8%)]或开始使用抗菌药物[N = 178(36%)],接受率分别为73.3%、83.3%、81.7%、76.9%和81.4%。结论:麻省理工学院每天制定了大约五项建议,主要关注药物治疗,但也关注临床研究。在这两个领域,观察到较高的接受率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of a multidisciplinary infectious diseases team in a tertiary hospital within an Antimicrobial Stewardship Program.

Background: In January 2011, as part of an antimicrobial stewardship program the Antimicrobial Management Team (AMT) at the Ghent University Hospital initiated a multidisciplinary Infectious Diseases Team (MIT) consisting of infectious diseases physicians, clinical microbiologists, and clinical pharmacists. The aim of this study is to describe the type and acceptance rate of recommendations provided by the MIT.

Method: Prospective, observational study in a tertiary care, university teaching hospital with 1062 beds in non-consecutive hospitalized adult patients, excluding intensive care units and paediatrics.

Results: The MIT communicated 432 recommendations in 87 days observed. Of the 293 patients for whom a recommendation was made, the median age was 57 years (range: 16-91 years) and 169 (57·7%) were male. Skin or soft tissue infections (14%), respiratory tract infections (13%), infections without known focus (11%), abdominal infections (11%), and bone infections (8%) were most common. Recommendations were made to perform additional clinical investigation(s) [N = 137 (27%)], to adjust the dose of an antimicrobial drug [N = 42 (8%)], to stop an antimicrobial drug [N = 104 (21%)], to switch from a parenteral to an oral drug [N = 39 (8%)] or to initiate an antimicrobial drug [N = 178 (36%)], with an acceptance rate of 73·0%, 83·3%, 81·7%, 76·9%, and 84·0%, respectively.

Conclusions: The MIT formulated about five recommendations a day primarily focusing on pharmacotherapy, but also on clinical investigations. In both fields, a high acceptance rate was observed.

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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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