ガザ地区における急性上部呼吸器感染症と不合併の破傷における抗生物質の使用:臨床監査と再監査
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PubMedで要約を見る
まとめ
この要約は機械生成です。急性上呼吸器感染症と破傷に対する抗生物質の処方量は介入後にわずかに改善しましたが,まだ最適ではありません. 抗生物質耐性との闘いには 患者と医師の教育が不可欠です
科学分野
- 感染症
- 公衆衛生
- 臨床医学
背景
- 抗生物質の過剰使用は 世界的な危機であり 多剤耐性病原菌を助長しています
- 急性上部呼吸道感染症と不合併の破傷は,抗生物質の治療を必要としません.
- 適切な抗生物質の処方に関する国際的ガイドラインがあります.
研究 の 目的
- 急性上呼吸道感染症と不合併の破傷に対する国際抗生物質処方基準の遵守を評価する.
- 抗生物質の処方に関する品質改善イニシアチブの影響を評価する.
主な方法
- 監査と再監査のデザインは,ガザ地区のナセル病院で採用されました.
- 2017年1月〜3月 (監査) から2018年1月〜3月 (再監査) の間に急性上部呼吸器感染症または不合併の破傷を患った患者からデータを収集した.
- 監査と再監査の間,医療従事者や患者のための教育介入を実施しました.
主要な成果
- 最初の検査では,上部呼吸器感染症の87%と破傷の100%が抗生物質を受けた.
- 介入後,上部呼吸器感染症の抗生物質の処方量は71% (p=0. 002) と,破傷の処方量は84%に減少した.
- 患者の有意な割合は 治療に抗生物質が必要だとか 服用することが重要だと考えていた.
結論
- 病院での品質改善の取り組みは,上部呼吸器感染症の適切な抗生物質使用の改善を示しました.
- 抗生物質の適切な使用に関する国際的ガイドラインに 医者が従うのは 依然として課題です
- 抗生物質の処方と耐性との闘いを最適化するために,証拠に基づいたガイドラインのさらなる開発と患者の教育が不可欠です.
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