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“轻松上手”型 AS 干预包含哪些内容?

Video explaining what is the basis of a "low-hanging fruit" intervention

观看 Adrian Brink 博士和 Dena van den Berg 博士的第二个视频,听她解释为干预活动选择的五个“轻松上手”型目标:

  • 开出抗生素处方之前是否进行培养
  • 同时使用 ≥ 四种抗生素
  • 抗生素治疗持续时间 > 七天
  • 抗生素治疗持续时间 > 14 天
  • 同时存在“双覆盖”,例如过多地覆盖厌氧菌、革兰阴性或阳性菌NB:这些示例按本地需要和优先性确

NB:这些示例是按本地需要和优先性确定的 。在其他医疗系统手术预防中,由静脉注射改为口服通常用作“轻松上手”型干预。

值得注意的是,在先在重症监护和特护病房进行的药剂师 AMS 查房以及随后在病房中进行审计期间,会收集该组织所有参与地点的数据。对于上面的基本干预,在每次实施变更之前应咨询临床医生。未对确定的长期治疗综合征实施干预,例如感染性心内膜炎以及其他深部感染(例如,骨髓炎和脓毒性关节炎)。此外,也不包括 HIV 感染、结核分枝杆菌和/或耶氏肺孢子菌肺炎患者所有的抗菌剂。本研究仅衡量肠外使用,不包括局部或吸入抗生素和抗真菌应用。

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抗菌素管理: 管理抗生素耐药性

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