尼斯塔丁在皮肤菌感染中的持续使用
Journal of drugs in dermatology : JDD
|December 5, 2023
概括
医生仍然为 tinea 感染处方 nystatin,尽管它的有效性有限. 这种局部抗真菌的使用在家庭医学中比在皮肤病学中更常见,这表明需要更新的临床知识.
科学领域:
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 尼斯塔丁是一种抗真菌药物,通常用于 tinea 感染.
- 尼斯塔丁在治疗表面性真菌感染 (如疹) 的疗效仍在争论中.
- 在 tinea 感染中,医生对 nystatin 的处方模式需要进行调查.
研究的目的:
- 为了确定局部尼斯塔丁在门诊护理环境中用于 tinea 感染的患病率.
- 为了确定医生专业最有可能为 tinea 开处方 nystatin.
主要方法:
- 分析国家门诊医疗调查 (NAMCS) 数据.
- 识别患者的访问被编码为 tinea 感染.
- 对处方治疗的评估,特别是局部尼斯塔丁.
主要成果:
- 局部用尼斯塔丁在4.3%的 tinea 感染访问中被处方.
- 尼斯塔丁在与皮肤科医生访问期间没有被处方.
- 家庭医学医生更有可能使用尼斯塔丁治疗 tinea (P=.02).
结论:
- 尼斯塔丁仍然用于 tinea 感染,尽管支持其有效性的证据有限.
- 皮肤科医生已经在很大程度上停止了这种做法.
- 对于非皮肤病学专业来说,有机会提高他们对适当的皮肤病治疗指南的理解.
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