干预措施来取消对耳部感染的不必要的抗生素处方 (DISAPEAR试验):一个集群随机试验的协议
Timothy C Jenkins1,2, Amy Keith3, Amy B Stein4
1Division of Infectious Diseases, Department of Medicine, Denver Health and Hospital Authority, Denver, CO, USA.
BMC infectious diseases
|January 24, 2024
概括
这项研究比较了两个干预措施,以增加儿童急性中耳炎的警等待,旨在减少抗生素的使用和提高家长的满意度. 这些发现将为抗生素管理政策提供信息.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性中耳炎 (AOM) 的管理通常涉及抗生素,有助于抗生素耐药性.
- 警等待是减少AOM儿童抗生素暴露的有效策略.
- 在临床实践中促进警等待的干预措施需要进一步调查.
研究的目的:
- 为了比较两种实用,以患者为中心的干预措施的有效性,以促进AOM管理中的警觉等待.
- 评估这些干预措施在初级和紧急护理机构的实施结果.
- 评估对抗生素处方和家长满意度的影响.
主要方法:
- 集群随机试验,在33家诊所进行混合实施-有效性设计.
- 干预措施包括卫生系统层面的方法和卫生系统层面的方法与共享决策援助相结合.
- 主要结果:抗生素使用和家长满意度;次要结果:实施忠实性,可接受性和适当性.
主要成果:
- 这个部分不在所提供的摘要中.
结论:
- 这项研究将比较两种干预措施,以促进儿童对AOM的警等待.
- 目标是减少抗生素暴露,提高家长的满意度.
- 调查结果将为国家抗生素管理政策的制定提供信息.
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