投稿分類 抗生素管制

主委發表種類: 壁報

投稿標題(中): 住院病人抗生素管理計畫組合式照護措施執行之成效

投稿標題(英): The Implementation of a bundled Antimicrobial Stewardship Program on the Outcome of hospitalized patients

投稿摘要: Objectives: The impact of an antibiotic-use care bundle on compliance with quality indicators was evaluated. Methods: We developed a hospital-wide computerized antimicrobial approval system (HCAAS) to guide the use of antimicrobial agents in late 2004 in a 2700-bed medical center. Three strategies for improving antimicrobial stewardship were implemented: education, clinical infection specialists-based intervention, and regular audit and feedback interventions. Results: Outcomes were to evaluate the impacts of HCAAS from 2004 to 2014. In up to 10 years to implement, the consumption of antibiotics in the hospital after the start control, hospital antibiotic consumption has significantly decreased (p ＜ .001), while significantly reducing the use of regulatory antibiotics (p ＜ .001), the hospital antibiotic expenditures also showed a significant decline in the ratio (p ＜ .001), nosocomial infection, total mortality, patient was discharged 14 days after returning to rate the quality of patient outcomes indicators are showing positiv ereduction trend (p ＜ .001). Conclusions: The results show that interventions to reduce excessive antibiotic prescribing to hospital inpatients can reduce hospital-acquired infections, and interventions to increase effective prescribing can improve clinical outcome.

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