Defining International Critical Care Pharmacist Contributions to Sepsis and Exploring Variability

IF 3.1 4区 医学 Q2 INFECTIOUS DISEASES Current Infectious Disease Reports Pub Date : 2023-12-20 DOI:10.1007/s11908-023-00825-5
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引用次数: 0

Abstract

Purpose of Review

To define international clinical pharmacist contributions to managing sepsis in critically unwell patients and explore variation.

Recent Findings

Clinical pharmacists improve clinical outcomes and cost efficiencies. They provide pharmaceutical advice on selection, administration, plus monitoring of antimicrobials and supportive therapies. Logistical activities reduce drug administration times. Guideline production, patient/clinician education, prescribing error identification, plus therapeutic optimisation activities are also reported.

Summary

A survey incorporating semi-structured interviews identified further antimicrobial stewardship, prescribing and digital contributions to optimise sepsis management. However, disparities associated with multidisciplinary team integration and intensive care unit service provision were found. Variability was attributed to multifaceted physical, social, financial, training and education themes. Findings empower collaborations between pharmacists and stakeholders to identify and overcome contribution barriers. Strategies to mitigate barriers and enhance sepsis contributions were envisaged by reported aspirations. These emphasised the importance of professional advocacy, interprofessional education and impactful implementation research.

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定义国际重症监护药剂师对败血症的贡献并探索差异性
摘要 综述目的 界定国际临床药师在管理危重病人败血症方面的贡献并探讨差异。 最新研究结果 临床药剂师可提高临床疗效和成本效益。他们就抗菌药物和支持疗法的选择、给药和监测提供药物建议。后勤工作缩短了用药时间。此外,还报告了指南制定、患者/医师教育、处方错误识别以及治疗优化等活动。 摘要 通过一项包含半结构式访谈的调查,进一步确定了抗菌药物管理、处方和数字化对优化败血症管理的贡献。然而,我们也发现了与多学科团队整合和重症监护病房服务提供相关的差异。差异可归因于多方面的物理、社会、财务、培训和教育主题。研究结果增强了药剂师和利益相关者之间的合作,以确定并克服贡献障碍。通过报告的愿望,设想了减少障碍和加强败血症贡献的策略。这些都强调了专业宣传、跨专业教育和有影响力的实施研究的重要性。
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来源期刊
Current Infectious Disease Reports
Current Infectious Disease Reports INFECTIOUS DISEASES-
CiteScore
6.70
自引率
0.00%
发文量
19
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of infectious disease. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as HIV/AIDS, sexually transmitted diseases, tropical and travel medicine, and urinary tract infections. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists.
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