【权威报道】抗生素管理能够促进患者安全，降低成本

蓝鱼o_0

看到一则新闻，有些数据很有总结意义。
Boyce JM。如果大家经常关注MRSA的报道，可能对他不会陌生，全球MDRO研究流行病学顶尖专家。
公布如下：


Implementation of an antimicrobial stewardship program in a hospital with relatively few resources improved patient care and resulted in significant cost savings.

“Antimicrobial stewardship is an important strategy for improving patient safety, but many hospitals have limited resources to devote to antimicrobial stewardship,” John Michael Boyce, MD, of the Hospital of Saint Raphael in New Haven, Conn., and colleagues wrote in the study abstract.

Boyce 教授说，抗生素管理对于促进患者安全而言是重要的策略，但是在许多家医院，由于资源有限，还不能开展这项干预。

Boyce and colleagues initiated an antimicrobial stewardship program headed by a pharmacist and infectious disease physician at a 400-bed hospital with limited resources. The researchers assessed drug utilization and the use of high-cost piperacillin-tazobactam. An antimicrobial stewardship form for listing clinical data and recommendations was placed in patient charts; the pharmacist and physician provided recommendations to caregivers.

Boyce和他的同事们开始在400张病床医院里的抗生素管理计划，由医院的药剂师和传染病医师执行。研究人员评估了药物的利用率和高成本哌拉西林三唑巴坦的使用。抗生素管理的表格列举出临床数据和推荐被附在病人的病历里，药剂师和医生给护理人员提供建议。

Compared with the previous year, the hospital experienced cost per adjusted patient-day reductions of:
对比与前年，医院经验型的花费降低：
22% for broad-spectrum agents.   22%广谱抗生素
20% for piperacillin-tazobactam.    29%哌拉西林三唑巴坦
19% for vancomycin. 19%万古霉素
11% for anti-infectives.  11%抗感染类药物
10% for levofloxacin.  10%左氟沙星
In addition, the number of new, nosocomial Clostridium difficile diarrhea cases per 10,000 patient-days decreased by 28%; and 90% of hospital recommendations were accepted by caregivers.

此外，通过这项干预措施，医院获得性艰难梭菌腹泻降低了28% 每一万病例日。90%的护理人员接受了这类推荐。
For more information:

Boyce JM. #O41. Presented at: The International Conference on Prevention and Infection Control; June 29-July 2, 2011; Geneva.
Disclosure: The researchers report no relevant financial disclosures.

老朽

医院的收入减少了！工作人员的工资下降了！

人类资源节约了！社会资本减少了，全民医疗成本下降了！