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ID:18926941
大小:2.69 MB
页数:22页
时间:2018-09-27
《抗生素ppt课件(英文精品)antibiotic use in care 》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、AntibioticUseinCareHomesAnauditcompletedin2009bytheQuality,StandardsandEffectivenessDirectoratePresentedbyRosalindWayInfectionPreventionandtheSafeEnvironmentNursingHomeConference16thMarch2010TheCroftersHotel,GarstangThisaudithasbeendesignedandcarriedoutbytheInfectionControlteam,theMedicinesManag
2、ementdepartment,andwithhelpfromthewholeoftheQuality,StandardsandEffectivenessDirectorateatNHSNorthLancashire.AntibioticUseinCareHomesGuidancesuggeststhatinappropriateuseofantibioticswithinthecarehomeenvironmentcanhaveanimpactonthelevelsofClostridiumdifficile(C.diff)andotherhealthcare-associatedi
3、nfections(HCAIs)Thepreventionandcontrolofhealthcare-associatedinfections(HCAIs)continuestoremainamajorchallengefortheNHSItisrecognisedthatC.diffisthemostincreasinglycommonHCAIwhichaffectsprimarilythefrailandelderlyanditisnowsubjecttomandatorysurveillanceintheUKTheriseinthisHCAIisconsideredtobeac
4、onsequenceoftheescalatinguseof‘broad-spectrum’antibiotics,especiallycephalosporinsandamoxicillinWithC.diffandotherHCAIsbeingconsideredasantibiotic-resistanttheyarethereforemoredifficulttotreatresultinginthelikelihoodofanincreaseduseofhealthcareresourcesand‘excessmorbidityandmortality’TheIssues:I
5、tiswidelythoughtthatprudentappropriateprescribingofbroadspectrumantibioticswillreducetheincidenceofC.diff.Thereisstrongevidencethat‘theuseofbroad-spectrumantibioticshasbeenstronglyassociatedwithC.diff,especiallythethirdgenerationcephalosporinsgiventotheelderlyItisofparticularimportancetoconsider
6、theappropriateuseofantibioticsgiventhatallantibioticsusedhaveanimpactonthe‘bacterialflorainthecommunitywhereindividualslive’,whichisofspecificsignificanceincarehomesandinstitutionalisedpatientsAntibioticsareincreasinglyusedintheelderly‘asdeathapproaches’,significantlythenumberofpatientstreated,t
7、heantibioticusedandthenumberofdaystheantibioticsareprescribedfor,andthisisconsideredto‘furtherthespreadofresistantorganisms’whichcanbetransmittedtoneighbouringpatientsresultingin‘severeinfectionswithadverseoutcomes’TheIssues
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