Impact of monitoring surgical prophylactic antibiotics and a computerized decision support system on antimicrobial use and antimicrobial resistance
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- 作者：Kyungmin Huh ; MD ; MSca ; 1 ; Doo Ryeon Chung ; MD ; PhDa ; iddrchung@gmail.com" class="auth_mail" title="E-mail the corresponding author ; Hyo Jung Park ; MScb ; Min-Ji Kim ; MScc ; Nam Yong Lee ; MD ; PhDd ; Young Eun Ha ; MD ; PhDa ; Cheol-In Kang ; MD ; PhDa ; Kyong Ran Peck ; MD ; PhDa ; Jae-Hoon Song ; MD ; PhDa
- 关键词：Antimicrobial stewardship ; decision support system ; antibiotic prophylaxis ; antimicrobial resistance
- 刊名：American Journal of Infection Control
- 出版年：2016
- 出版时间：1 September 2016
- 年：2016
- 卷：44
- 期：9
- 页码：e145-e152
- 全文大小：2036 K
文摘
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Monitoring of surgical prophylactic antibiotics and a computerized decision support system for antibiotics prescription were implemented sequentially.
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We examined the effects of 2 interventions on antimicrobial use, resistance rates of major nosocomial pathogens, and cost of antibiotics.
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Previously increasing trends of antimicrobial use density have been reversed or decreased in slope after interventions.
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Trends of the resistance rates of some major pathogens have been reversed or decreased in slope.
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Monitoring of surgical prophylactic antibiotics and implementation of a computerized decision support system can be effective measures for antimicrobial stewardship.