在工作时间以外的初级保健中,昆虫咬伤的呈现和管理:一项描述性研究
Samuel John Finnikin1, Jane Wilcock2, Peter Jonathan Edwards3,4
1Institute for Applied Health Research, University of Birmingham, Birmingham, UK s.j.finnikin@bham.ac.uk.
BMJ open
|September 14, 2023
概括
三分之二的非工作时间的初级保健患者受到了昆虫咬伤的抗生素. 需要进一步的研究,以优化这些常见的昆虫咬伤呈现的抗生素使用.
科学领域:
- 初级保健研究研究初级保健研究
- 传染病流行病学 传染病流行病学
- 抗微生物药物管理委员会
背景情况:
- 昆虫咬伤是初级保健咨询的常见原因.
- 在工作时间之外的环境中,对昆虫咬伤的抗生素处方模式尚不清楚.
研究的目的:
- 描述受昆虫咬伤的人群在工作时间之外提供初级保健服务.
- 建立对昆虫咬伤的临床管理和与抗生素处方相关的因素.
主要方法:
- 观察性研究,利用从一个大型非工作时间的初级保健数据库 (伯明翰非工作时间的全科医生研究数据库) 定期收集的数据.
- 分析了2013年7月至2020年2月期间5774次遇到昆虫咬伤的情况.
- 后勤回归建模以确定抗生素处方的预测因素.
主要成果:
- 67.1%的遇到昆虫咬伤的人接受了抗生素.
- 一般医生比高级护士医生更少地开处方抗生素 (60.5%vs71.1%).
- 疼痛,胀和传播的迹象与增加的抗生素处方有关.
结论:
- 在大量受昆虫咬伤的患者中,在非工作时间的初级保健中处方了抗生素.
- 已经确定了抗生素处方的预测因素,但需要进一步的研究,以便在昆虫咬伤管理中最佳地使用抗生素.
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