Antimicrobial stewardship in solid organ transplantation: Perspective from a Veterans Affairs Medical Center.
Antimicrobial stewardship in solid organ transplantation: Perspective from a Veterans Affairs Medical Center.
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实体器官移植中的抗菌管理：退伍军人事务医疗中心的视角。
DOI：
10.1111/tid.13948
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Balasubramanian,Prakash
中科院分区：
文献类型：
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作者：
Felkner,Rebecca;Barnett,SusanneG;Misch,ElizabethA;Safdar,Nasia;Balasubramanian,Prakash
背景抗微生物药物管理（AMS）活动的重要性，特别是集中在实体器官移植（SOT）受体日益认识到。2014年，退伍军人健康管理局（VHA）制定了国家指导方针，并承诺在全国各地的退伍军人事务部（VA）医疗中心建立AMS计划。然而，AMS的实施是在自由裁量权的个别VA centers.MethodsWe进行了环境扫描的AMS活动在一个三级保健VA medical centers.ResultsWe描述的AMS活动集中在SOT收件人。策略基于当地流行病学，利用电子病历与参与移植传染病人员可能是benefit.ConclusionAMS在SOT收件人是具有挑战性的，但有影响力。这里描述的战略可能是有用的AMS活动集中在SOT人口。
BackgroundThe importance of antimicrobial stewardship (AMS) activities specifically focused on solid organ transplant (SOT) recipients is increasingly recognized. In 2014, the Veterans Health Administration (VHA) created national guidance and committed resources to establish AMS programs at Veterans Affairs (VA) medical centers across the country. However, the AMS implementation is at the discretion of individual VA centers.MethodsWe undertook an environmental scan of AMS activities in a tertiary care VA medical center.ResultsWe describe AMS activities focused on SOT recipients. Strategies based on local epidemiology that leverage the electronic medical record together with engagement by transplant infectious diseases personnel are likely to be beneficial.ConclusionAMS in SOT recipients is challenging yet impactful. Strategies described here may be useful for AMS activities focused on the SOT population.