COVID-19对初级保健中的抗生素使用的影响:回顾性分析
Anna Romaszko-Wojtowicz1, K Tokarczyk-Malesa2, Anna Doboszyńska3
1Department of Pulmonology, School of Public Health, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Jagiellońska 78, 10-357, Olsztyn, Poland. anna.romaszko@uwm.edu.pl.
Scientific reports
|February 27, 2024
概括
由于COVID-19大流行,家庭医生对抗生素的处方减少了,即使远程医疗也增加了. 鉴定SARS-CoV-2是呼吸道感染的原因,有助于降低抗生素的使用.
科学领域:
- 一般的做法一般的做法
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19大流行,医疗实践发生了重大变化,包括远程医疗的普及.
- 在疫情期间,人们对过度使用抗生素的担忧得到了重视.
- 医疗保健服务的变化促使对抗生素处方模式进行评估.
研究的目的:
- 在初级保健中评估抗生素治疗模式.
- 确定COVID-19大流行对全科医生 (GPs) 处方抗生素的影响.
- 分析疫情期间与呼吸道感染相关的抗生素使用变化.
主要方法:
- 在2018年1月至2023年5月期间,从一家初级保健中心 (波兰奥尔斯蒂恩的潘塔梅德) 收集的医疗记录进行了回顾性分析.
- 用成年患者 (>18岁) 的"活跃清单"指标量化处方抗生素的量化.
- 在COVID-19大流行之前和期间的抗生素处方数据的统计比较.
主要成果:
- 在大流行期间,总体医疗咨询数量有所下降 (大流行前95,251次,期间79,619次).
- 在大流行期间总处方抗生素的显著减少 (4.54对2.44;p<0.001).
- 抗生素处方的减少是独立于咨询类型 (远程医疗与面对面).
结论:
- 由于COVID-19大流行,家庭医生处方抗生素的数量显著下降.
- 鉴定SARS-CoV-2作为病毒病原体的发现有助于减少对呼吸道感染的抗生素使用.
- 与疫情相关的呼吸道感染管理变化对抗生素管理产生了积极的影响.
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