Antimicrobial stewardship program (ASP): an effective implementing technique for the therapy efficiency of meropenem and vancomycin antibiotics in Iranian pediatric patients

被引：22

作者：

Rahbarimanesh, Aliakbar ^{[1
]}

Mojtahedi, Sayed Yousef ^{[2
]}

Sadeghi, Payman ^{[3
]}

Ghodsi, Maryam ^{[4
]}

Kianfar, Sara ^{[3
]}

Khedmat, Leila ^{[5
]}

Siyahkali, Saeedreza Jamali Moghadam ^{[6
]}

Yazdi, Mohammad Kaji ^{[7
]}

Izadi, Anahita ^{[1
]}

机构：

[1] Univ Tehran Med Sci, Bahrami Hosp, Dept Pediat Infect Dis, Shahid Kiaee St Ghasem Abad,Damavand St, Tehran 1641744991, Iran

[2] Univ Tehran Med Sci, Dept Pediat Nephrol, Bahrami Hosp, Tehran, Iran

[3] Univ Tehran Med Sci, Bahrami Hosp, Tehran, Iran

[4] Univ Tehran Med Sci, Bahrami Hosp, Dept Pediat, Tehran, Iran

[5] Baqiyatallah Univ Med Sci, Hlth Management Res Ctr, Tehran, Iran

[6] Univ Tehran Med Sci, Ziaeian Hosp, Tehran, Iran

[7] Univ Tehran Med Sci, Bahrami Hosp, Dept Pediat Hematol & Oncol, Tehran, Iran

来源：

ANNALS OF CLINICAL MICROBIOLOGY AND ANTIMICROBIALS | 2019年 / 18卷 / 1期

关键词：

Antibiotic therapy; ASP intervention; Antimicrobial management; Antimicrobial resistance; Meropenem; Vancomycin; INFECTIOUS-DISEASES-SOCIETY; HEALTH-CARE EPIDEMIOLOGY; IMPACT; RESISTANCE; HOSPITALS; INTERVENTIONS; ADJUSTMENT; MANAGEMENT; SPECTRUM; AMERICA;

D O I：

10.1186/s12941-019-0305-1

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

BackgroundAntimicrobial stewardship program (ASP) is a distinguished method to improve the prescription and efficacy of antibiotics.AimThe efficacy of ASP and conventional methods was compared to measure the effectiveness of meropenem (MPM) and vancomycin (VMN) antibiotics in pediatric patients.DesignIn an interventional quasi-experimental study, 135 children admitted in Children's Hospital affiliated to University of Medical Sciences in time periods of 2014-2015 and 2015-2016 were assessed.MethodsThe conventional and ASP methods in 2014-2015 and 2015-2016 were respectively utilized to provide the best antimicrobial therapy of MPM and VMN antibiotics in patient children. The data of mortality rate (MR), antibiotic prescription (AP), antibiotic dose (ADe), antibiotic duration (ADn), length of hospital stay (LOHS), and blood cultures (BCs) were compared across the years using the Chi square, independent t test, and Fisher's exact test.ResultsThe levels of MR, AP, ADe, ADn, LOHS, and positive BCs using the ASP method in 2015-2016 were significantly lower those of in 2014-2015 using the conventional one (p<0.05).ConclusionsThe ASP method versus conventional one with a better efficacy can be employed as an antibiotic administration guide for MPM and VMN in the therapy of patients in community-based hospitals.

引用

页数：7

共 43 条

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