诊断和合理使用抗微生物药物用于门诊初级保健 (消化系统部分) 的参考手册的开发和应用:德尔菲研究
Du Wei1, Yue Chang1,2, Qi Chen3
1School of Medicine and Health Management, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.
一本新的参考手册帮助初级保健提供者诊断消化系统疾病并合理使用抗微生物药物. 它是通过专家的共识开发的,可以提高常见胃肠道疾病的诊断准确性和治疗.
科学领域:
- 胃肠病学 胃肠病学
- 初级医疗保健医学 一级医疗保健医学
- 基于证据的实践.
背景情况:
- 门诊初级保健提供者需要可访问的资源来诊断消化系统疾病.
- 合理使用抗微生物药物对于管理胃肠道感染和预防耐药性至关重要.
研究的目的:
- 为门诊初级保健提供者开发一个简洁的参考手册.
- 促进消化系统疾病的准确诊断.
- 引导在初级保健机构合理使用抗微生物药物.
主要方法:
- 文献审查和专家讨论为手册草案的内容提供了信息.
- 在29名小组成员的两轮Delphi技术中,获得了专业的共识.
- 该手册通过评估小组成员的权威,承诺和同意水平来验证.
主要成果:
- 建立了一个基于共识的参考手册,该手册具有高级小组成员的权威和承诺.
- 该手册包括29种消化系统疾病的200个诊断指标,以及13种类别的合理抗菌药物建议.
- 初步应用显示高满意度和频繁使用在初级保健医生.
结论:
- 一个经过验证的参考手册为初级保健医生和药剂师提供了一个简短的指南.
- 该手册促进了快速学习,提高了诊断准确性和消化系统疾病的治疗.
- 本资源支持基于证据的实践,用于胃肠道疾病的初级护理.
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