モンテネグロ の 臨床 センター で の 抗生物質 の 使用 制限
Dzana Lukac1, Tanja Vojinovic2, Pinaki Dutta3
1Clinical Center of Montenegro, Ljubljanska bb, Podgorica, Montenegro.
Indian journal of pharmacology
|August 22, 2025
まとめ
抗菌剤耐性 (AMR) は 世界的な健康危機です この研究では,制限された抗生物質は以前から制限のない治療法なしで経験的に使用されることが多く,最適でない処方法を示しています.
科学分野:
- 臨床微生物学
- 公衆衛生
- 感染症
背景:
- 抗菌剤耐性 (AMR) は世界的な健康上の重大な脅威であり,世界中で死亡率に寄与しています.
- 過剰な処方箋と自己治療は 抗菌剤耐性の主要な要因です
- 抗生物質は2010年にモンテネグロで最も多く処方された薬です.
研究 の 目的:
- 予備抗生物質の処方と使用の正当性を分析する.
- 合理的な抗生物質使用ガイドラインの遵守を評価する.
主な方法:
- 制限された抗生物質に関する174件の申請を遡及的に分析した.
- モンテネグロの臨床センターから収集したデータです.
主要な成果:
- 抗生物質検査は21. 84%の症例のみで行われ, 78. 16%の症例で経験的抗生物質の使用に至った.
- 制限された抗生物質は,事前の無制限の治療なしで72. 25%の症例で開始されました.
- 制限された抗生物質の処方箋の3分の2以上には培養物の感受性検査が欠けていました.
結論:
- 制限された抗生物質の使用は 合理的な抗生物質の導入と完全に一致していません
- 制限された抗生物質の処方箋の有意な割合は 必要な診断検査を回避しています
- 制限された抗生物質は,推奨されたガイドラインに反して,第一線治療として頻繁に使用されています.
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