印度中部小城市二级医院抗生素使用和细菌培养率(BCR)的点流行研究(PPS):巩固印度证据。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Laboratory Physicians Pub Date : 2023-06-01 DOI:10.1055/s-0042-1757585
Shweta Kumar, Pankaj Shukla, Pramod Goel, Vivek Mishra, Ayush Gupta, Tadepalli Karuna, Rakesh Srivastava, Amit Gupta, Deepak Baharani, Parijat Pansey, Sunil Chandiwal, Sandeep Shrivastava, Ankur Gupta, Shailendra Singh Rajpoot, DebaDulal Biswal, Mehrunnisa Ansari, Kamini Walia, Sagar Khadanga
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引用次数: 0

摘要

目的印度医院(尤其是政府运营的公立医院)没有抗菌药物管理计划(AMSP)。印度医学研究委员会在印度三级保健医院成功启动AMSP后,设想在二级保健医院实施AMSP。本研究是关于二级护理医院抗生素使用的基线数据。材料与方法本研究为前瞻性纵向观察图回顾型研究。抗生素消费的基线数据通过抗生素使用和细菌培养率的24小时点流行研究获得。处方抗生素按照世界卫生组织(WHO)准入、观察和储备分类进行分类。所有数据在Microsoft Excel中整理,汇总成百分比。结果在接受调查的864名患者中,总体抗生素使用率为78.9%(低优先级地区为71.5%,高优先级地区为92.2%)。大多数抗生素的使用是经验性的,细菌培养率极低(21.9%)。在处方药物中,世卫组织观察类药物占53.1%,储备类药物占5.5%。即使在印度抗菌素耐药性国家行动计划(NAP-AMR)启动5年后,在城市的中小型医院中,抗菌素耐药性仍然不存在。卫生保健系统中训练有素的微生物学家的重要性被确定为对抗抗菌素耐药性(AMR)的一个支点;然而,在政府经营的地区医院中缺乏这些药物是一个令人严重关切的问题,需要尽早解决。
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Point Prevalence Study (PPS) of Antibiotic Usage and Bacterial Culture Rate (BCR) among Secondary Care Hospitals of Small Cities in Central India: Consolidating Indian Evidence.

Objective  Indian hospitals (especially government-run public sector hospitals) have a nonexistent antimicrobial stewardship program (AMSP). After successfully initiating AMSPs in tertiary care hospitals of India, the Indian Council of Medical Research envisages implementing AMSP in secondary care hospitals. This study is about the baseline data on antibiotic consumption in secondary care hospitals. Materials and Methods  It was a prospective longitudinal observational chart review type of study. Baseline data on antibiotic consumption was captured by a 24-hour point prevalence study of antibiotic usage and bacterial culture rate. The prescribed antibiotics were classified according to the World Health Organization (WHO) Access, Watch, and Reserve classification. All data were collated in Microsoft Excel and summarized as percentages. Results  Out of the 864 patients surveyed, overall antibiotic usage was 78.9% (71.5% in low-priority areas vs. 92.2% in high-priority areas). Most of the antibiotic usage was empirical with an extremely low bacterial culture rate (21.9%). Out of the prescribed drugs, 53.1% were from the WHO watch category and 5.5% from the reserve category. Conclusion  Even after 5 years of the launch of the national action plan on AMR (NAP-AMR) of India, AMSP is still non-existent in small- and medium-level hospitals in urban cities. The importance of trained microbiologists in the health care system is identified as a fulcrum in combating antimicrobial resistance (AMR); however, their absence in government-run district hospitals is a matter of grave concern and needs to be addressed sooner than later.

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来源期刊
Journal of Laboratory Physicians
Journal of Laboratory Physicians MEDICINE, GENERAL & INTERNAL-
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发文量
99
审稿时长
31 weeks
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