頁籤選單縮合
題 名 | 抗生素管理策略新趨勢=Updating Implementation of an Antibiotic Stewardship Program |
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作 者 | 蕭旋玲; 鄧新棠; 陳琦華; | 書刊名 | 藥學雜誌 |
卷 期 | 33:1=130 2017.03[民106.03] |
頁 次 | 頁138-142 |
分類號 | 418.281 |
關鍵詞 | 抗生素管理策略; 抗生素抗藥性; Antimicrobial stewardship program; ASP; |
語 文 | 中文(Chinese) |
中文摘要 | 不斷升級的抗生素抗藥性、困難治癒的感染症及新藥開發延宕是現今各國所面臨 的難題,透過流程管理的方式結合專業進行抗生素管理計畫 (antimicrobial stewardship program,ASP),是減緩細菌抗藥性發生的重要關鍵。不同的管理策略包括:前瞻性 稽核、事先授權、教育訓練、臨床路徑、精簡降階、及抗生素輪替等相關措施於過去 10年間被提出並應用。2016年由美國感染症醫學會與美國健康照護流行病學會公布的 「落實抗生素管理指引」,提供以實證為基礎的執行方式,將有助於各醫療機構規劃 抗生素管理政策。 |
英文摘要 | In the 21st century, the problems we faced are escalating antibiotic resistance, difficultto- treat infections and decelerated new antibiotics development. Antibiotic stewardship program is a key component of a multifaceted approach to preventing emergence of antimicrobial resistance. Good antibiotic stewardship involves selecting an appropriate drug and optimizing its dose and duration to cure an infection while minimizing toxicity and conditions for selection of resistant bacterial strains. Various strategies such as prescriber education, formulary restriction, prior approval, streamlining, antibiotic cycling, and computer-assisted programs have been proposed to improve antibiotic use. Evidence-based guidelines for implementation and measurement of antibiotic stewardship interventions were recommend by Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. The multidisciplinary strategies of antibiotic optimization should be tailored to fit the individual needs of an institution. |
本系統中英文摘要資訊取自各篇刊載內容。