在抗菌药物耐药性较高的新生儿护理环境中，评估抗菌药物管理计划对增强临床知识的作用。

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES Quality Management in Health Care Pub Date : 2024-10-25 DOI:10.1097/QMH.0000000000000468

Faiza Iqbal, N Siva, Leslie Edward S Lewis, Jayashree Purkayastha, Shruthi K Bharadwaj, Baby S Nayak, Padmaja A Shenoy, Deepshri Ranjan, K E Vandana

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引用次数: 0

摘要

导言：抗菌药耐药性（AMR）是一个全球性问题，在印度等发展中国家尤其具有挑战性。本研究试图确定医疗保健专业人员的能力，并更新循证政策，以应对 AMR：方法：通过一项抗菌药物管理计划，在 3 个领域内使用经过验证的结构化调查和知识问卷，开展了一项基于调查的教育干预研究。采用 SPSS 16.0 版对汇总数据进行了分析：在 58 名参与者中，53 人（91%）观察到耐多药感染在过去 5 年中呈上升趋势。临床医生知识的总体前测平均得分（8.12 ± 2.10）与后测平均得分（12.5 ± 1.49）之间存在明显差异，平均差异为 4.38 ± 0.61，95% CI 为 5.003-3.92，t(57) = 16.62，P 讨论：抗菌药物管理计划能有效提高临床医生的能力，从而改善抗菌药物处方并减少AMR。此外，提高医护人员的知识和能力将最大限度地降低新生儿发病率和死亡率。

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Assessment of an Antimicrobial Stewardship Program for Enhancing Clinical Knowledge in Neonatal Care Settings With High Antimicrobial Resistance.

Introduction: Antimicrobial resistance (AMR) is a global problem, which is particularly challenging in developing countries like India. This study attempts to determine the competencies of health care professionals and to update evidence-based policies to address AMR.

Method: A survey-based educational interventional study was conducted using a validated structured survey and knowledge questionnaire under 3 domains through an antimicrobial stewardship program. Pooled data were analyzed using SPSS version 16.0.

Results: Out of 58 participants, 53 (91%) have observed an increasing trend of multidrug-resistant infections over the last 5 years. There is a significant difference between the overall pretest mean scores (8.12 ± 2.10) and posttest mean scores (12.5 ± 1.49) of clinicians' knowledge with a mean difference of 4.38 ± 0.61, 95% CI of 5.003-3.92, t(57) = 16.62, P < .001).

Discussion: The antimicrobial stewardship program was effective in improving the competencies of clinical physicians to improve antimicrobial prescribing and reduce AMR. Moreover, improving the knowledge and competencies among health care professionals will minimize neonatal morbidity and mortality.

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来源期刊

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.