在私人药房和药品零售环境中进行点诊测试:叙述性审查
Justine Tin Nok Chan1, Van Nguyen2, Thuy Ngan Tran3,4
1Fitzwilliam College, University of Cambridge, Cambridge, UK. jtnc2@cam.ac.uk.
BMC infectious diseases
|August 23, 2023
概括
药店的点诊检测 (POCT) 可以改善低收入和中等收入国家 (LMICs) 的传染病治疗. 成功实施需要全面的协议,培训和社区参与,以实现更广泛的采用.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 卫生系统研究 卫生系统研究
背景情况:
- 临床检测 (POCT) 具有指导抗微生物药物使用和减少抗微生物药物耐药性的潜力.
- 在私人零售机构 (如药房) 实施POCT可以减轻公共医疗负担.
- 本综述考察了低收入和中等收入国家 (LMICs) 感染病的POCT.
研究的目的:
- 审查LMIC中私人零售环境中POCT实施的研究.
- 探索POCT在这些环境中的吸收,治疗影响和可行性.
- 确定成功整合POCT的关键因素.
主要方法:
- 在私人零售环境中对感染性疾病的POCT进行干预研究的叙述性综述.
- 在MEDLINE/PubMed搜索相关研究.
- 数据由两位独立审稿人提取和分析.
主要成果:
- 包括23项研究,主要涉及疟疾和呼吸道感染.
- POCT的实施取得了成功,改善了对治疗指南的遵守.
- 客户和提供者欢迎POCT,尽管卫生工作者存在担忧.
- 主要主题包括培训,废物管理,社区参与和财务模型.
结论:
- POCT可以在LMIC私人零售环境中成功实施,使用全面的协议.
- 需要进一步进行高质量的随机研究,特别是在疟疾以外的传染病方面.
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