做或不做:在尿动力学中进行抗生素预防的跨国调查结果
Fabian P Stangl1, Laila Schneidewind2, Florian M Wagenlehner3
1Department of Urology, University Hospital of Bern, 3010 Bern, Switzerland.
Antibiotics (Basel, Switzerland)
|July 29, 2023
概括
大多数泌尿科医生在泌尿动力学 (UDS) 期间避免抗生素预防,但缺乏标准化的协议. 在UDS中优化抗生素使用对于打击抗生素耐药性至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 预防传染病 预防传染病
- 医疗保健管理的管理
背景情况:
- 抗生素预防显著促进全球抗生素耐药性上升.
- 尿动力学 (UDS) 抗生素预防的当前做法需要评估,以提高准则的遵守.
研究的目的:
- 评估目前在泌尿动力学中抗生素预防的实践标准.
- 识别阻碍遵守UDS中抗生素预防的既定指南的障碍.
主要方法:
- 在奥地利,德国和瑞士的泌尿科医生和妇科医生分发了一份包含22项问卷的在线调查.
- 该调查遵循了"互联网电子调查结果报告检查清单" (CHERRIES) 的指导方针.
- 分析了来自105份符合条件的问卷调查的数据.
主要成果:
- 93%的响应者不经常使用抗生素预防UDS.
- 65%的人只在存在复杂因素时使用预防措施.
- 78%的人缺乏在UDS中进行抗生素预防的标准化部门协议.
结论:
- 虽然大多数泌尿科医生避免UDS的常规抗生素预防,但缺乏标准化的程序是显而易见的.
- 在UDS中建立清晰的抗生素预防方案对于优化抗生素使用和打击耐药性至关重要.
- 在泌尿病诊断中协调实践是必要的,以解决抗生素耐药性的问题.
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