抗生素的慎重使用(英文教学)European Antibiotics Awarness Day案例实例.pptVIP

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抗生素的慎重使用(英文教学)European Antibiotics Awarness Day案例实例.ppt

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Antibiotics – handle with care Misuse of antibiotics leads to resistance40-42 All hospital practitioners can play an active role in reversing the trend of antibiotic-resistant bacteria: Take cultures before starting antibiotic therapy43 Consult the hospital antibiotic expert44-46, [local antibiogram, and hospital antibiotic guidelines] Streamline antibiotic therapy based on culture results47 * 40. Singh N, Yu VL. Rational empiric antibiotic prescription in the ICU. Chest. 2000 May;117(5):1496-9. 41. Lesch CA, Itokazu GS, Danziger LH, Weinstein RA. Multi-hospital analysis of antimicrobial usage and resistance trends. Diagn Microbiol Infect Dis. 2001 Nov;41(3):149-54. 42. Lepper PM, Grusa E, Reichl H, Hogel J, Trautmann M. Consumption of imipenem correlates with beta-lactam resistance in Pseudomonas aeruginosa. Antimicrob Agents Chemother. 2002 Sep;46(9):2920-5. 43, 47. Rello J, Gallego M, Mariscal D, Sonora R, Valles J. The value of routine microbial investigation in ventilator-associated pneumonia. Am J Respir Crit Care Med. 1997 Jul;156(1):196-200. 44. Davey P, Brown E, Fenelon L, Finch R, Gould I, Hartman G, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2005(4):CD003543 45. Carling P, Fung T, Killion A, Terrin N, Barza M. Favorable impact of a multidisciplinary antibiotic management program conducted during 7 years. Infect Control Hosp Epidemiol. 2003 Sep;24(9):699-706. 47.Byl B, Clevenbergh P, Jacobs F, Struelens MJ, Zech F, Kentos A, et al. Impact of infectious diseases specialists and microbiological data on the appropriateness of antimicrobial therapy for bacteremia. Clin Infect Dis. 1999 Jul;29(1):60-6; discussion 7-8. European Antibiotic Awareness Day – a campaign to promote prudent use of antibiotics * About European Antibiotic Awareness Day European Antibiotic Awareness Day is marked across Europe around 18 November. European Antibiotic Awareness Day provides a platform and support