抗生素管理改进倡议在退伍军人健康管理局门诊护理中心。

David Cooperman, Winnie Angerer, James Barry Fagan
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引用次数: 0

摘要

背景:不必要的抗生素处方的负面影响是众所周知的,包括抗生素不良反应的风险,致病生物的过度生长,不必要的成本,以及在广大民众中选择抗生素耐药生物。急性病毒性呼吸道感染是不适当使用抗生素的主要原因之一。方法:本研究考察了对临床医生进行抗生素管理教育并制作预包装工具包(包含症状缓解和患者教育)供临床医生分发给病毒性上呼吸道感染患者与开具抗生素处方的影响。结果:2018年12月1日至2019年3月31日,共发放病毒性疾病支持包357份。追踪了与病毒性上呼吸道感染有关的诊断代码的抗生素处方,并将其与2017年12月1日至2018年3月31日的类似时期进行了比较。抗生素处方减少9% (P = 0.02)。结论:该项目的结果表明,患者教育和非抗生素对症治疗方案的现成可用性相结合,可以显着减少不必要的病毒性疾病抗生素处方。
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Antibiotic Stewardship Improvement Initiative at a Veterans Health Administration Ambulatory Care Center.

Background: The negative impact of unnecessary antibiotic prescribing is well known and includes risks of antibiotic adverse effects, overgrowth of pathogenic organisms, unnecessary costs, and selection of antibiotic-resistant organisms in the populace at large. Acute viral respiratory infections are among the leading causes of inappropriate antibiotic usage.

Methods: This study examined the effect on inappropriate antibiotic prescribing rates of educating clinicians regarding antibiotic stewardship and making a prepackaged kit (containing symptom relief and patient education) for clinicians to distribute to patients with viral upper respiratory tract infections vs writing a prescription for antibiotics.

Results: Between December 1, 2018, and March 31, 2019, 357 viral illness support packs were distributed. Antibiotic prescriptions for the diagnostic codes pertaining to viral upper respiratory tract infections were tracked and compared to a similar period from December 1, 2017, to March 31, 2018. A 9% reduction in antibiotic prescriptions was observed (P = .02).

Conclusions: The results of this project demonstrate that the combination of patient education and the ready availability of a nonantibiotic symptomatic treatment option can significantly decrease the unnecessary prescribing of antibiotics for viral illnesses.

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