在厄瓜多尔,怀疑尿路感染的患者的抗生素处方模式
Xavier Sánchez1,2, Alicia Latacunga3, Iván Cárdenas3
1Centro de Investigación Para la Salud en América Latina (CISeAL), Facultad de Medicina, Pontificia Universidad Católica del Ecuador (PUCE), Quito, Ecuador.
PloS one
|November 30, 2023
概括
在厄瓜多尔,对于尿路感染 (UTI) 的抗生素处方显示了56%的适当率,第一级护理提供者表现出更高的不适当处方几率. 报告指出,建议使用的抗生素,如尼特洛黄因和氏菌素,使用量不足.
科学领域:
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 尿路感染 (UTI) 是主治医院处方抗生素的主要原因.
- 尿路感染的低最佳抗生素治疗可能导致治疗失败和抗菌素耐药性.
- 准确的诊断依赖于临床症状和实验室测试结果.
研究的目的:
- 分析怀疑尿路感染的成年患者的抗生素处方模式.
- 评估厄瓜多尔对尿路感染的抗生素处方是否适当.
主要方法:
- 在2019年期间,在厄瓜多尔的门诊中心和一家二级医院进行了一项横截面研究.
- 使用国际疾病分类第十次修订 (ICD-10) 确定了急性尿路感染病例.
- 包括家庭医生,急诊医生和内科医生治疗的患者.
主要成果:
- 在507名分析患者中,观察到99.01%的即时抗生素处方率.
- 只有56.02%的病例符合适当的抗生素处方标准;尿液培养在不到10%的病例中使用.
- 齐普罗夫洛克萨 (50.39%) 和塞法莱克辛 (23.55%) 是最常被处方的抗生素. 不适当的处方与医生年龄,全科医生护理,缺乏护理点检测和一级医疗机构有关.
结论:
- 该研究发现,适当的尿路感染抗生素处方率为56.02%.
- 推的第一线抗生素,如尼特罗黄因和福米,未得到充分利用.
- 在一级护理设施中,不适当的抗生素处方明显高 (15.72倍),突出了改善尿路感染诊断和治疗策略的需要.
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