门诊管理的下一步步骤
Holly M Frost1, Adam L Hersh2, David Y Hyun3
1Center for Health Systems Research, Denver Health and Hospital Authority, Denver, CO, USA; Department of Pediatrics, Denver Health and Hospital Authority, Denver, CO, USA; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Infectious disease clinics of North America
|August 28, 2023
概括
抗生素管理计划在门诊环境中至关重要,以打击耐药性和不良事件. 有效实施这些计划仍然是一个挑战,需要针对改善抗生素使用的专注策略.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 显著比例的抗生素处方,30-50%,在门诊环境中是不必要的.
- 不适当使用抗生素会导致抗生素耐药性,并增加患者出现药物不良反应和Clostridioides difficile感染的风险.
研究的目的:
- 审查美国门诊机构对抗生素管理的现状.
- 概述实施有效的门诊管理计划的最佳实践.
- 确定未来的方向,以优化在门诊护理中的抗生素利用.
主要方法:
- 这是一篇综述性文章,综合了当前的文献和指南.
- 讨论关于 ambulatory 抗生素管理的国家建议.
- 对方案实施的挑战和促进因素的分析.
主要成果:
- 尽管有国家建议,但在门诊环境中使用抗生素管理计划的比例很低.
- 有效实施需要量身定制的策略来应对独特的门诊护理挑战.
- 关键组成部分包括指南传播,处方者教育和绩效监测.
结论:
- 在门诊环境中加强抗生素管理对于制抗菌素耐药性至关重要.
- 成功实施需要解决采用和采用基于证据的最佳实践的障碍.
- 未来的努力应专注于创新的方法,以改善门诊抗生素处方.
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