31家医院提高住院患者抗菌药物治疗前病原学送检率专项行动实施现况调查

Prevalence survey of implementation process of special campaign for enhancing pathogen detection rate before antimicrobial therapy in hospitalized patients of 31 hospitals

  • 摘要:
    目的 了解我国住院患者抗菌药物治疗前病原学送检率专项行动的管理现状, 分析在实施过程中发现的问题, 并提出改进建议。
    方法 研究采用问卷调查法, 收集2024年5-7月, 区域内专项行动医疗机构在质控管理、协调机制、数据来源、指标内涵与存在问题等方面的相关数据。
    结果 各医疗机构在病原学送检率管理方面存在差异, 主要体现在送检率指标使用不一致、质控管理措施的落实程度和多部门参与情况不同, 同时数据来源和统计方法的差异及指标内涵理解不统一等原因使数据间可比性受到制约。
    结论 针对这些问题, 应进一步加强信息化建设、统一指标统计口径、完善多部门协调机制等改进措施, 为专项行动的实施提供科学依据, 为抗菌药物的合理使用提供有力支持。

     

    Abstract:
    OBJECTIVE To understand the current management status of the special campaign for enhancing the pathogen detection rate before antimicrobial therapy in hospitalized patients in China, analyze identified issues during implementation, and propose improvement suggestions. METHOD A questionnaire survey was conducted to collect data from medical institutions participating in the special campaign within the region from May to Jul. 2024, covering aspects such as quality control management, coordination mechanisms, data sources, indicator connotations and existing issues.
    RESULTS Variations were observed among medical institutions in the management of pathogen detection rates, primarily reflected in inconsistent usage of detection rate indicators, varying implementation levels of quality control measures and differences in multi-departmental participation. Additionally, discrepancies in data sources, statistical methods and interpretations of indicator connotations limited the comparability of data.
    CONCLUSIONS To address these issues, improvement measures such as strengthening informatization construction, standardizing indicator statistical methods and enhancing multi-departmental coordination mechanisms should be implemented. These efforts will provide a scientific basis for the implementation of special campaign and robust support for the rational use of antimicrobial agents.

     

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