【合集】2011年CID关于社区医院抗生素管理操作，执行及强化专题
本帖最后由 蓝鱼o_0 于 2012-7-1 22:39 编辑（1）题目：A Call to Arms: The Imperative for Antimicrobial Stewardship
文献出处：Clinical Infectious Diseases 2011;53(S1):S4–S7
Antimicrobial resistance is a major public health crisis. The prevalence of drug-resistant organisms, such as
the emerging NAP1 strain of Clostridium difficile, now highly resistant to fluoroquinolones, Acinetobacter
species, Klebsiella pneumoniae carbapenemase-producing organisms, and methicillin-resistant Staphylococcus
aureus, is increasing nationwide. The sources of antimicrobial resistance are manifold, but there is a welldocumented
causal relationship between antimicrobial use and misuse and the emergence of antimicrobialresistant
pathogens. As the development of new antimicrobial agents is on the decline, the medical community,
across all specialties and in conjunction with public health services, must develop and implement programs and
strategies designed to preserve the integrity and effectiveness of the existing antimicrobial armamentarium.
Such strategies are collectively known as antimicrobial stewardship programs and have the potential to
minimize the emergence of resistant pathogens.
（2）题目：Need and Potential of Antimicrobial Stewardship in Community Hospitals
出处：Clinical Infectious Diseases 2011;53(S1):S8–S14
摘要
Preventing, reducing, and controlling the emergence of antimicrobial-resistant organisms is a major public
health challenge requiring the participation of the entire medical community and public health agencies.
Antimicrobial stewardship programs (ASPs) have the potential to integrate the many and sometimes disparate
individuals and organizations that rely on antimicrobial agents in an effort to better control antimicrobial
prescribing, possibly minimizing the emergence of resistant organisms. Developing and implementing ASPs can
be a major challenge for community-based hospitals. In addition to specific and localized patterns of
resistance—a consideration for every hospital—community hospitals must develop strategies that appropriately
conform to their size, staffing, personnel, and infrastructure. This article reviews the ASP strategies and resources
currently available to community hospitals for improving if, when, and how antimicrobial agents are prescribed
and delivered.
（3）题目：Strategies for Improving Antimicrobial Use and the Role of Antimicrobial Stewardship Programs
出处：Clinical Infectious Diseases 2011;53(S1):S15–S22
【摘要】
To evaluate the quality of patient care in specific disease states, the Centers for Medicare and Medicaid Services
(CMS) tracks hospital adherence to specific evidencebased performance measures. The performance measures
are processes of care for which there is a strong link between the process and patient outcomes; they provide
objective evaluations of hospital performance and patient care. Currently, CMS supports initiatives in several areas: heart failure, myocardial infarction, community-acquired pneumonia (CAP), and postsurgical complications (through the Surgical Care Improvement Project ). CMS performance measures, as well as other quality-improvement initiatives,
work synergistically with antimicrobial stewardship programs (ASPs), which are also strategies for improving drug use and patient care. Like ASPs, core performance strategies, among other goals, promote appropriate antimicrobial selection and use. Thus, performance measures can bolster the influence of ASPs, and ASPs can facilitate the implementation of performance
measures. This article reviews CAP performance measures, SCIP, and strategies for genitourinary infections, and their intersection with ASPs.
（4）题目：Antimicrobial Stewardship Programs in Community Hospitals: The Evidence Base and Case Studies
【出处】Clinical Infectious Diseases 2011;53(S1):S23–S28
【摘要】
By controlling and changing how antimicrobial agents are selected and administered, antimicrobial
stewardship programs (ASPs) aim to prevent or slow the emergence of antimicrobial resistance; optimize the
selection, dosing, and duration of antimicrobial therapy; reduce the incidence of drug-related adverse events;
and lower rates of morbidity and mortality, length of hospitalization, and costs. There is an abundant and
growing body of evidence demonstrating that ASPs change the quantity and quality of antimicrobial
prescriptions; however, measuring whether, when, and how ASPs improve patient outcomes and change
patterns of antimicrobial resistance—which is the ultimate goals of ASPs—has been difficult, but the totality of
evidence indicates that ASPs are capable of achieving these goals. In this article, we review the existing data on
ASPs and their effects on patient care and antimicrobial resistance, as well as strategies for establishing ASPs in
different types of hospitals.
文点能不能打个折啊{:1_7:} xinlianliuhen 发表于 2011-10-28 16:56 static/image/common/back.gif
文点能不能打个折啊
东西好，想拿到需要付出点代价。哈哈！{:1_9:}
我们也要成本效益分析滴！ 呜呜……，没有文点看不了，真可惜！ 46881381 发表于 2011-10-28 16:59 static/image/common/back.gif
呜呜……，没有文点看不了，真可惜！
大家都是从头开始的呀。文献下载不易，下载了不看浪费。 怎么大家的文点都那么少啊.. 哈哈怎样才能获取得多点哦？ 获取高质量的文献，真方便。
谢谢啦！
好的，我会努力的。谢谢老师! 不知道你是否注意到，“付费主题, 价格: 10 金币金币”，另外一种是附件付费。两个是不一样的。 icchina 发表于 2011-10-28 17:10 static/image/common/back.gif
不知道你是否注意到，“付费主题, 价格: 10 金币金币”，另外一种是附件付费。两个是不一样的。
有个售价选项，我选择了金币数目。其实我的初衷是主题可以看，附件下载要收费。下次还是不要用这个选项的好。让大家先看看个大概再考虑要不要付费。{:1_9:} 同时，建议不要用打包方式，同时上传几个文献。
一篇文献，一个主题贴。而且，主题贴的题目，就用该篇文献的题目（当然原文的题目有时候太长，不能全部显示），有利于论文的检索。 另外，大家是否注意到，在这个版块跟贴，您的金币是不会增加的。
这个设计的目的，不希望大家在这里灌水来挣分。 蓝鱼o_0 发表于 2011-10-28 17:14 static/image/common/back.gif
有个售价选项，我选择了金币数目。其实我的初衷是主题可以看，附件下载要收费。下次还是不要用这个选项的 ...
请作修改，否则别人无法看贴。 蓝鱼o_0 发表于 2011-10-28 17:14 static/image/common/back.gif
有个售价选项，我选择了金币数目。其实我的初衷是主题可以看，附件下载要收费。下次还是不要用这个选项的 ...
我昨天就注意到这个问题，今天看到这个现象，我估计不是你的初衷，所以特别提出来。
建议大家设置附件下载要收费，而不是在主题的地方收费。
当然，你现在不要改动，算是一个案例放在这里，引起大家关注。 鬼才 发表于 2011-10-28 17:18 static/image/common/back.gif
请作修改，否则别人无法看贴。
金币付费可以看啊。不用付文电。下载采用文点。 icchina 发表于 2011-10-28 17:14 static/image/common/back.gif
同时，建议不要用打包方式，同时上传几个文献。
一篇文献，一个主题贴。而且，主题贴的题目，就用该篇文献 ...
看到一个专题后，不舍得把他们分开，考虑到当初编辑在考虑入选文献的时候，文献的录用有严格的策略。以后会注意这个问题。 icchina 发表于 2011-10-28 17:07 static/image/common/back.gif
获取高质量的文献，真方便。
谢谢啦！
已经取消了付费主题选项。 货卖不出去，所以本文进行贬值销售。所有的售价一律取消。请战友们海量下载了。
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