医生建议患者使用抗生素预防预防预防内心炎
1Cardiovascular Division, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA.
JAMA
|June 29, 2000
概括
传染性内心炎 (IE) 预防的医生说明与指导方针一致,但在低风险患者中出现过度使用,在中等风险患者中出现过度使用. 患者和医生教育是更好地遵守美国心脏协会建议的关键.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 1997年美国心脏协会 (AHA) 的指导方针简化了传染性内心炎 (IE) 预防方案,以改善遵守.
- 遵守这些最新的AHA建议,特别是在经过验证的心声学风险的患者中,仍然没有评估.
研究的目的:
- 评估IE预防的推和实际使用之间的一致性.
- 评估IE预防的利用情况,如经过心声回声检查的患者所报告的.
主要方法:
- 对218名符合条件的患者 (80%的应答率) 进行了一项调查,这些患者接受了门诊心声扫描.
- 患者报告了医生关于IE预防的指示,根据他们的心声图风险类别.
主要成果:
- 在108名适用于预防的患者中,65.7%报告接受了指令.
- 高风险患者 (88.9%) 和中等风险患者 (61.1%) 报告接受了指令,而忽略不计的风险患者中有26.4%接受了指令.
- 总体而言,45.9%的患者报告说,他们接受了医生关于IE预防的指示.
结论:
- 尽管大多数患者报告了与AHA指导方针一致的指示,但在可以忽略的风险组中使用过多,在中等风险组中使用不足是普遍存在的.
- 通过持续的医生和患者教育,可以实现更好地遵守AHA IE预防建议.
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