获得医疗服务对出院时抗生素使用疗程决策的影响。
Influence of Access to Care on Decision-making About Antibiotic Duration at Discharge.
作者信息
Dunn Guinn E, White Andrea T, Giesler Daniel L, Mashrah Daraoun, Brancaccio Adamo, Szymczak Julia E, Horowitz Jennifer K, Neetz Robert A, Vaughn Valerie M
机构信息
Division of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Division of General Internal Medicine, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.
出版信息
Open Forum Infect Dis. 2025 Jun 11;12(7):ofaf346. doi: 10.1093/ofid/ofaf346. eCollection 2025 Jul.
In a randomized vignette of an inpatient with pneumonia, hospitalists prescribed a longer antibiotic duration (>5 days) on discharge more often if the patient lived in a (A) rural versus (B) local community (37% [11/29] vs 10% [4/42], = .004). Rurality and access to follow-up care may influence discharge medication prescribing.
在一项针对肺炎住院患者的随机病例描述中，如果患者居住在（A）农村地区而非（B）当地社区，住院医师在出院时开具更长疗程抗生素（>5天）的频率更高（37%[11/29]对10%[4/42]，P = .004）。农村地区以及获得后续护理的机会可能会影响出院用药的开具。
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