使用AGREE II工具对急性喉痛指南进行批判性评估:范围审查
Irène Supper1,2,3, Johanna Gratadour1, Mathilde François4,5
1Department of General Practice, Université Claude Bernard Lyon 1, Villeurbanne, Auvergne-Rhône-Alpes, France.
Family practice
|June 15, 2023
概括
关于治疗喉炎的抗生素使用的指导方针存在矛盾. 高质量的指导方针建议将抗生素限制在严重病例或高风险患者中,以打击抗生素耐药性.
科学领域:
- 医学指导方针 医学指导方针
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 关于治疗喉疼痛的抗生素管理,国际上存在相互矛盾的指导方针.
- 急性A组β-血液溶解性链球菌 (GABHS) 喉炎是一种常见的疾病,治疗建议各异.
研究的目的:
- 用AGREE II仪器评估GABHS喉疼痛现有指南的质量.
- 在高质量的指南中分析诊断得分,测试和抗生素治疗的建议.
- 识别差异,并为准则制定提供基于证据的建议.
主要方法:
- 对2000-2019年间出版的指导方针进行系统的文献审查.
- 使用研究和评估指南评估II (AGREE) 工具评估指南.
- 准则被分类为高质量 (>60%的发展严谨度得分) 或低质量.
主要成果:
- 在15个评估指南中观察到显著的异质性.
- 六个高质量的指南使用了系统的文献搜索和元分析.
- 大多数高质量的指南都不重视常规诊断得分/测试和抗生素使用,除了高风险患者.
结论:
- 需要基于强有力的证据的高质量指导方针.
- 将抗生素处方限制在严重病例或高危人群中,可以帮助缓解抗生素耐药性.
- 标准化指南制定和建议对于有效的喉疼痛管理至关重要.
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