A Report of the Efforts of the Veterans Health Administration National Antimicrobial Stewardship Initiative
A Report of the Efforts of the Veterans Health Administration National Antimicrobial Stewardship Initiative
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DOI：
10.1017/ice.2016.328
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发表时间：
2017-05-01
影响因子：
4.5
通讯作者：
Roselle, Gary A.
中科院分区：
文献类型：
--
作者：
Kelly, Allison A.;Jones, Makoto M.;Roselle, Gary A.
目的详细介绍退伍军人健康管理局（VHA）抗菌药物管理倡议的活动，并评估该计划的结果。设计观察分析。设置VHA是一个大型综合医疗保健系统，每年在140多个医疗机构为约600万人提供服务。方法利用国家开发的资源，按比例分配抗生素，报告了管理实践和患者安全措施的变化。结果国家开发的管理资源得到了很好的利用，许多管理实践显著增加，包括到2015年92%的机构制定了书面管理政策（P
OBJECTIVE To detail the activities of the Veterans Health Administration (VHA) Antimicrobial Stewardship Initiative and evaluate outcomes of the program.DESIGN Observational analysis.SETTING The VHA is a large integrated healthcare system serving approximately 6 million individuals annually at more than 140 medical facilities.METHODS Utilization of nationally developed resources, proportional distribution of antibiotics, changes in stewardship practices and patient safety measures were reported. In addition, inpatient antimicrobial use was evaluated before and after implementation of national stewardship activities.RESULTS Nationally developed stewardship resources were well utilized, and many stewardship practices significantly increased, including development of written stewardship policies at 92% of facilities by 2015 (P