肯尼亚锡卡医院手术抗生素预防使用变化：基于中断时间序列的质量改进干预

数据集获取（Figshare）

• 源站标题：Changing Use of Surgical Antibiotic Prophylaxis in Thika Hospital, Kenya: A Quality Improvement Intervention with an Interrupted Time Series Design
• DOI：10.1371/journal.pone.0078942
• 发布日期：2013-11-11
• 文件数：2 个
• 文件总体积：6.87 MB
• 源站页面：https://plos.figshare.com/articles/dataset/_Changing_Use_of_Surgical_Antibiotic_Prophylaxis_in_Thika_Hospital_Kenya_A_Quality_Improvement_Intervention_with_an_Interrupted_Time_Series_Design_/846468

命令行下载

curl -L -o "Appendix_S1.pdf" "https://ndownloader.figshare.com/files/1275537"
curl -L -o "Appendix_S2.tif" "https://ndownloader.figshare.com/files/1275538"

文件清单

• Appendix_S1.pdf（241.39 KB）
• Appendix_S2.tif（6.63 MB）

文件总体积 6.87 MB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Introduction
In low-income countries, Surgical Site Infection (SSI) is a common form of hospital-acquired infection. Antibiotic prophylaxis is an effective method of preventing these infections, if given immediately before the start of surgery. Although several studies in Africa have compared pre-operative versus post-operative prophylaxis, there are no studies describing the implementation of policies to improve prescribing of surgical antibiotic prophylaxis in African hospitals.
Methods
We conducted SSI surveillance at a typical Government hospital in Kenya over a 16 month period between August 2010 and December 2011, using standard definitions of SSI and the extent of contamination of surgical wounds. As an intervention, we developed a hospital policy that advised pre-operative antibiotic prophylaxis and discouraged extended post-operative antibiotics use. We measured process, outcome and balancing effects of this intervention in using an interrupted time series design.
Results
From a starting point of near-exclusive post-operative antibiotic use, after policy introduction in February 2011 there was rapid adoption of the use of pre-operative antibiotic prophylaxis (60% of operations at 1 week; 98% at 6 weeks) and a substantial decrease in the use of post-operative antibiotics (40% of operations at 1 week; 10% at 6 weeks) in Clean and Clean-Contaminated surgery. There was no immediate step-change in risk of SSI, but overall, there appeared to be a moderate reduction in the risk of superficial SSI across all levels of wound contamination. There were marked reductions in the costs associated with antibiotic use, the number of intravenous injections performed and nursing time spent administering these.
Conclusion
Implementation of a locally developed policy regarding surgical antibiotic prophylaxis is an achievable quality improvement target for hospitals in low-income countries, and can lead to substantial benefits for individual patients and the institution.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0078942（source: https://plos.figshare.com/articles/dataset/_Changing_Use_of_Surgical_Antibiotic_Prophylaxis_in_Thika_Hospital_Kenya_A_Quality_Improvement_Intervention_with_an_Interrupted_Time_Series_Design_/846468）。