在日本使用回顾性索赔数据库对口服类药物处方的调查,2013-2018年
Satoshi Ide1,2, Masahiro Ishikane3,4, Kensuke Aoyagi4
1Department of Emerging and Reemerging Infectious Diseases, Graduate School of Medicine, Tohoku University, Sendai, Japan.
PloS one
|June 22, 2023
概括
在日本,宏类抗生素的处方仍然很高,其中克拉里胺是最常见的. 对常见感冒和长期皮肤/过敏状况的使用进行审查对于适当的抗菌药物使用至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在日本,类抗生素的使用率明显高于欧洲和美国.
- 评估日本目前的宏类药物处方实践对于抗微生物药物管理至关重要.
- 之前对日本宏化物使用的评估是有限的.
研究的目的:
- 在抗菌素耐药性 (AMR) 行动计划之前和之后,量化日本的类药物处方.
- 为了确定宏类药物被处方治疗的特定疾病及其持续时间.
- 分析与国家抗微生物药物耐药性战略相关的化物利用趋势.
主要方法:
- 一项回顾性观察性研究利用JMDC2013年1月至2018年12月的索赔数据.
- 在所有口服抗微生物药物中分析宏类处方比例.
- 疾病分为急性 (<14天) 和慢性 (>14天) 的处方长度.
主要成果:
- 麦克罗利德占所有口服抗菌药物处方的约30%,克拉里胺约占60%.
- 常见感冒是急性宏类药物处方的主要指示;过敏和皮肤病常见于慢性使用.
- 在AMR行动计划实施之前和之后,这些疾病的处方模式保持一致.
结论:
- 适当使用宏类药物需要对普通感冒的处方进行重新评估.
- 对皮肤和过敏性疾病的长期宏类药物处方需要仔细考虑和进一步调查.
- 需要继续采取抗微生物药物耐药性措施和详细研究,以优化日本的宏化物利用.
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