不适当使用快速抗原测试的发生率和因素,用于A组链球菌
Hiroshi Ito1, Toshiya Nakashima1, Jura Oshida1
1Division of General Internal Medicine, Department of Internal Medicine, Tokyo Medical University Ibaraki Medical Center, Inashiki, Ibaraki, Japan.
概括
许多针对A组链球菌 (GAS) 喉炎的快速抗原测试被不适当地使用,导致不必要的抗生素处方. 建议对诊断管理和医疗保健工作者进行教育,以改善适当的测试使用.
科学领域:
- 临床微生物学 临床微生物学
- 传染性疾病 传染性疾病
- 诊断测试 诊断测试 诊断测试
背景情况:
- 快速抗原测试 (RADT) 有助于诊断A组链球菌 (GAS) 喉炎.
- 了解RADT对GAS的不适当利用是有限的.
研究的目的:
- 评估在被诊断患有喉炎的患者中RADT的适当与不适当的使用.
- 确定与RADT对GAS不适当使用相关的因素.
主要方法:
- 追溯观察性研究分析了2019年1月至2022年8月期间的RADT使用情况.
- 低Centor分数 (0-1) 的患者的RADT被归类为不合适.
主要成果:
- 在1015名患者中,有37.4%接受了不适当的RADT.
- 喘与较高的不适当测试率有关.
- 不适当使用RADT导致16.0%的患者接受潜在不必要的抗生素.
结论:
- 喉炎的诊断管理是至关重要的.
- 教育医疗保健工作者可以减少不适当的RADT订单.
- 防止不必要的护理需要优化RADT利用.
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