Percepción de los cirujanos acerca de los programas PROA

作者: B. Bonaga Serrano , B. Obón Azuara , A. Gonzalo Rodriguez

DOI: 10.1016/J.JHQR.2018.04.003

关键词:

摘要: Resumen Introduccion La administracion de antimicrobianos contribuye a la aparicion resistencias microbianas y al incremento infecciones por germenes multirresistentes. patologia infecciosa, primaria o como complicacion, es una las mas comunes en el ambito cirugia general, con frecuencia se tratan excesivamente. Explorar percepcion los cirujanos previamente implantacion programas optimizacion del uso (PROA) resulta interesante para adaptar programa contexto local. Objetivo Conocer acerca manejo prescripcion antibioticos (AB) un servicio general (SCG). Metodos Estudio descriptivo transversal mediante cuestionario anonimo distribuido formato papel abordando aspectos referentes AB. Resultados muestra fue N = 42 tasa respuesta 65%. El 75% consideraba que resistencia representaba problema. Las principales situaciones consideradas medio/alto margen mejora fueron: tiempo transcurre desde toma hasta recepcion resultados (70%), empleo AB espectro duracion excesivos (88 89%), excesiva tratamiento (89%), mantenimiento via intravenosa alta paciente (73%). dificultades implementacion PROA pautas antibioticas establecidas solidas SCG (84%) heterogeneidad (84%). Conclusiones Los organizativos constituyen uno problemas implementar PROA. Se ha constituido equipo multidisciplinar especifico donde abordan distintos formativos, sirviendo foro discusion periodica determinados pacientes complejos presentan

参考文章(23)
Therese M. Duane, Jessica X. Zuo, Luke G. Wolfe, Gonzalo Bearman, Michael B. Edmond, Kimberly Lee, Laurie Cooksey, Michael P. Stevens, Surgeons do not listen: evaluation of compliance with antimicrobial stewardship program recommendations. American Surgeon. ,vol. 79, pp. 1269- 1272 ,(2013) , 10.1177/000313481307901218
Massimo Sartelli, Dieter G Weber, Etienne Ruppé, Matteo Bassetti, Brian J Wright, Luca Ansaloni, Fausto Catena, Federico Coccolini, Fikri M Abu-Zidan, Raul Coimbra, Ernest E Moore, Frederick A Moore, Ronald V Maier, Jan J De Waele, Andrew W Kirkpatrick, Ewen A Griffiths, Christian Eckmann, Adrian J Brink, John E Mazuski, Addison K May, Rob G Sawyer, Dominik Mertz, Philippe Montravers, Anand Kumar, Jason A Roberts, Jean-Louis Vincent, Richard R Watkins, Warren Lowman, Brad Spellberg, Iain J Abbott, Abdulrashid Kayode Adesunkanmi, Sara Al-Dahir, Majdi N Al-Hasan, Ferdinando Agresta, Asma A Althani, Shamshul Ansari, Rashid Ansumana, Goran Augustin, Miklosh Bala, Zsolt J Balogh, Oussama Baraket, Aneel Bhangu, Marcelo A Beltrán, Michael Bernhard, Walter L Biffl, Marja A Boermeester, Stephen M Brecher, Jill R Cherry-Bukowiec, Otmar R Buyne, Miguel A Cainzos, Kelly A Cairns, Adrian Camacho-Ortiz, Sujith J Chandy, Asri Che Jusoh, Alain Chichom-Mefire, Caroline Colijn, Francesco Corcione, Yunfeng Cui, Daniel Curcio, Samir Delibegovic, Zaza Demetrashvili, Belinda De Simone, Sameer Dhingra, José J Diaz, Isidoro Di Carlo, Angel Dillip, Salomone Di Saverio, Michael P Doyle, Gereltuya Dorj, Agron Dogjani, Hervé Dupont, Soumitra R Eachempati, Mushira Abdulaziz Enani, Valery N Egiev, Mutasim M Elmangory, Paula Ferrada, Joseph R Fitchett, Gustavo P Fraga, Nathalie Guessennd, Helen Giamarellou, Wagih Ghnnam, George Gkiokas, Staphanie R Goldberg, Carlos Augusto Gomes, Harumi Gomi, Manuel Guzmán-Blanco, Mainul Haque, Sonja Hansen, Andreas Hecker, Wolfgang R Heizmann, Torsten Herzog, Adrien Montcho Hodonou, Suk-Kyung Hong, Reinhold Kafka-Ritsch, Lewis J Kaplan, Garima Kapoor, Aleksandar Karamarkovic, Martin G Kees, Jakub Kenig, Ronald Kiguba, Peter K Kim, Yoram Kluger, Vladimir Khokha, Kaoru Koike, Kenneth YY Kok, Victory Kong, Matthew C Knox, Kenji Inaba, Arda Isik, Katia Iskandar, Rao R Ivatury, Maurizio Labbate, Francesco M Labricciosa, Pierre-François Laterre, Rifat Latifi, Jae Gil Lee, Young Ran Lee, Marc Leone, Ari Leppaniemi, Yousheng Li, Stephen Y Liang, Tonny Loho, Marc Maegele, Sydney Malama, Hany E Marei, Ignacio Martin-Loeches, Sanjay Marwah, Amos Massele, Michael McFarlane, Renato Bessa Melo, Ionut Negoi, David P Nicolau, Carl Erik Nord, Richard Ofori-Asenso, AbdelKarim H Omari, Carlos A Ordonez, Mouaqit Ouadii, Gerson Alves Pereira Junior, Diego Piazza, Guntars Pupelis, Timothy Miles Rawson, Miran Rems, Sandro Rizoli, Claudio Rocha, Boris Sakakhushev, Miguel Sanchez-Garcia, Norio Sato, Helmut A Segovia Lohse, Gabriele Sganga, Boonying Siribumrungwong, None, Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA) World Journal of Emergency Surgery. ,vol. 11, pp. 33- 33 ,(2016) , 10.1186/S13017-016-0089-Y
Ira L. Leeds, Anne Fabrizio, Sara E. Cosgrove, Elizabeth C. Wick, Treating Wisely: The Surgeon's Role in Antibiotic Stewardship. Annals of Surgery. ,vol. 265, pp. 871- 873 ,(2017) , 10.1097/SLA.0000000000002034
Massimo Sartelli, Therese M Duane, Fausto Catena, Jeffrey M Tessier, Federico Coccolini, Lillian S Kao, Belinda De Simone, Francesco M Labricciosa, Addison K May, Luca Ansaloni, John E Mazuski, None, Antimicrobial Stewardship: A Call to Action for Surgeons. Surgical Infections. ,vol. 17, pp. 625- 631 ,(2016) , 10.1089/SUR.2016.187
Adrian J. Brink, Angeliki P. Messina, Charles Feldman, Guy A. Richards, Dena van den Bergh, , From guidelines to practice: a pharmacist-driven prospective audit and feedback improvement model for peri-operative antibiotic prophylaxis in 34 South African hospitals Journal of Antimicrobial Chemotherapy. ,vol. 72, pp. 1227- 1234 ,(2016) , 10.1093/JAC/DKW523
Jennifer K. Broom, Alex F. Broom, Emma R. Kirby, Alexandra F. Gibson, Jeffrey J. Post, Clinical and social barriers to antimicrobial stewardship in pulmonary medicine: A qualitative study American Journal of Infection Control. ,vol. 45, pp. 911- 916 ,(2017) , 10.1016/J.AJIC.2017.03.003
Giorgio Tarchini, Kui Hin Liau, Joseph S. Solomkin, Antimicrobial Stewardship in Surgery: Challenges and Opportunities. Clinical Infectious Diseases. ,vol. 64, ,(2017) , 10.1093/CID/CIX087
Matthias May, Robert Obermaier, Alexander Novotny, Florian M. Wagenlehner, Sabine D. Brookman-May, Face to Face with Multi-Resistant Pathogens: An Urgent Call to Action for Modern Surgeons To Pioneer in Antibiotic Stewardship Surgical Infections. ,vol. 18, pp. 645- 646 ,(2017) , 10.1089/SUR.2016.275
Massimo Sartelli, Francesco M Labricciosa, Pamela Barbadoro, Leonardo Pagani, Luca Ansaloni, Adrian J Brink, Jean Carlet, Ashish Khanna, Alain Chichom-Mefire, Federico Coccolini, Salomone Di Saverio, Addison K May, Pierluigi Viale, Richard R Watkins, Luigia Scudeller, Lilian M Abbo, Fikri M Abu-Zidan, Abdulrashid K Adesunkanmi, Sara Al-Dahir, Majdi N Al-Hasan, Halil Alis, Carlos Alves, André R Araujo da Silva, Goran Augustin, Miklosh Bala, Philip S Barie, Marcelo A Beltrán, Aneel Bhangu, Belefquih Bouchra, Stephen M Brecher, Miguel A Caínzos, Adrian Camacho-Ortiz, Marco Catani, Sujith J Chandy, Asri Che Jusoh, Jill R Cherry-Bukowiec, Osvaldo Chiara, Elif Colak, Oliver A Cornely, Yunfeng Cui, Zaza Demetrashvili, Belinda De Simone, Jan J De Waele, Sameer Dhingra, Francesco Di Marzo, Agron Dogjani, Gereltuya Dorj, Laurent Dortet, Therese M Duane, Mutasim M Elmangory, Mushira A Enani, Paula Ferrada, J Esteban Foianini, Mahir Gachabayov, Chinmay Gandhi, Wagih Mommtaz Ghnnam, Helen Giamarellou, Georgios Gkiokas, Harumi Gomi, Tatjana Goranovic, Ewen A Griffiths, Rosio I Guerra Gronerth, Julio C Haidamus Monteiro, Timothy C Hardcastle, Andreas Hecker, Adrien M Hodonou, Orestis Ioannidis, Arda Isik, Katia A Iskandar, Hossein S Kafil, Souha S Kanj, Lewis J Kaplan, Garima Kapoor, Aleksandar R Karamarkovic, Jakub Kenig, Ivan Kerschaever, Faryal Khamis, Vladimir Khokha, Ronald Kiguba, Hong B Kim, Wen-Chien Ko, Kaoru Koike, Iryna Kozlovska, Anand Kumar, Leonel Lagunes, Rifat Latifi, Jae G Lee, Young R Lee, Ari Leppäniemi, Yousheng Li, Stephen Y Liang, Warren Lowman, Gustavo M Machain, Marc Maegele, Piotr Major, Sydney Malama, Ramiro Manzano-Nunez, Athanasios Marinis, Isidro Martinez Casas, Sanjay Marwah, Emilio Maseda, Michael E McFarlane, Ziad Memish, Dominik Mertz, Cristian Mesina, Shyam K Mishra, Ernest E Moore, Akutu Munyika, Eleftherios Mylonakis, Lena Napolitano, Ionut Negoi, Milica D Nestorovic, David P Nicolau, Abdelkarim H Omari, Carlos A Ordonez, José-Artur Paiva, Narayan D Pant, Jose G Parreira, Michal Pędziwiatr, Bruno M Pereira, Alfredo Ponce-de-Leon, Garyphallia Poulakou, Jacobus Preller, Céline Pulcini, Guntars Pupelis, Martha Quiodettis, Timothy M Rawson, Tarcisio Reis, Miran Rems, Sandro Rizoli, Jason Roberts, Nuno Rocha Pereira, Jesús Rodríguez-Baño, Boris Sakakushev, James Sanders, Natalia Santos, Norio Sato, Robert G Sawyer, Sandro Scarpelini, Loredana Scoccia, Nusrat Shafiq, Vishalkumar Shelat, Costi D Sifri, Boonying Siribumrungwong, Kjetil Søreide, Rodolfo Soto, Hamilton P de Souza, Peep Talving, Ngo Tat Trung, Jeffrey M Tessier, None, The Global Alliance for Infections in Surgery: Defining a model for antimicrobial stewardship-results from an international cross-sectional survey World Journal of Emergency Surgery. ,vol. 12, pp. 34- 34 ,(2017) , 10.1186/S13017-017-0145-2
Jennifer K. Broom, Alex F. Broom, Emma R. Kirby, Jeffrey J. Post, How do professional relationships influence surgical antibiotic prophylaxis decision making? A qualitative study. American Journal of Infection Control. ,vol. 46, pp. 311- 315 ,(2017) , 10.1016/J.AJIC.2017.09.004