Computer surveillance of hospital-acquired infections and antibiotic use.
Computer surveillance of hospital-acquired infections and antibiotic use.
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DOI：
10.1001/jama.1986.03380080053027
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发表时间：
1986-08
期刊：
影响因子：
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通讯作者：
Evans Rs;R. Larsen;J. Burke;Reed M. Gardner;Meier Fa;J. Jacobson;M. Conti;J. T. Jacobson;R. K. Hulse
中科院分区：
文献类型：
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作者：
Evans Rs;R. Larsen;J. Burke;Reed M. Gardner;Meier Fa;J. Jacobson;M. Conti;J. T. Jacobson;R. K. Hulse
美国医院要求监测医院获得性感染和抗生素的使用。主动执行这种监视所需的时间和成本可能会很大。我们开发了一种计算机化的传染病监测仪，它可以自动生成四种类型的监测“警报”，针对医院获得性感染、没有接受病原体易感的抗生素、可能正在接受较便宜的抗生素的患者，或者接受预防性抗生素的时间过长的患者。使用计算机筛查两个月的监测人员发现，与我们传统的监测方法相比，更多的医院感染，而只需要35%的时间。此外，来自计算机的警报发现，37名患者没有接受适当的抗生素治疗，31名患者本可以接受更便宜的抗生素治疗，142名患者在一个月内接受了长时间的头孢菌素预防治疗。计算机筛查可以帮助集中开展活动，提高医院监护人员的工作效率。
Surveillance of hospital-acquired infections and antibiotic use is required of US hospitals. The time and cost needed to actively perform this surveillance can be extensive. We developed a computerized infectious disease monitor that automatically generates four types of surveillance "alerts" for patients with hospital-acquired infections, not receiving antibiotics to which their pathogens are susceptible, who could be receiving less expensive antibiotics, or who are receiving prophylactic antibiotics too long. Surveillance personnel using computer screening for two months found more hospital-acquired infections when compared with our traditional surveillance methods, while requiring only 35% of the time. In addition, alerts from the computer identified 37 patients not receiving appropriate antibiotics, 31 patients who could have been receiving less expensive antibiotics, and 142 patients, during one month, receiving prolonged cephalosporin prophylaxis. Computer screening can help focus the activities and improve the efficiency of hospital surveillance personnel.