过度使用抗生素:谁是罪祸首? 一个定性研究
Zary Nokhodian1, Zahra Boroumandfar2, Soodabeh Rostami3
1Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
International journal of preventive medicine
|March 7, 2024
概括
伊朗的临床医生担心过度使用和抗生素耐药性,并指出实验室服务,医疗保健系统和教育方面的挑战. 加强抗菌药物管理计划和促进文化变革对于最佳的抗生素使用至关重要.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 不合理的抗生素使用对全球健康构成重大威胁.
- 临床医生的态度和实践对于管理医疗机构和社区的抗生素消费至关重要.
- 了解临床医生的经验是优化抗生素治疗策略的关键.
研究的目的:
- 探索和报告临床医生在伊朗伊斯法罕使用抗生素的经验.
- 确定影响抗生素处方模式和耐药性的因素.
- 收集有关改善抗菌药物管理的见解.
主要方法:
- 这是一项定性研究,涉及来自不同专业的13名临床医生.
- 通过半结构化,一对一的采访收集数据.
- 通过多个研究人员对转录的采访进行传统的内容分析.
主要成果:
- 参与者对过度使用抗生素和抗生素耐药性的增加表示严重关切.
- 确定的障碍包括实验室效率低下,医疗保健系统绩效问题和医学教育方面的挑战.
- 临床医生注意到抗微生物药物管理委员会不活跃,需要改善关于耐药性模式的数据报告.
结论:
- 过度使用抗生素是伊朗的一个关键问题,需要有针对性的干预.
- 实施抗微生物管理计划的障碍需要通过基础设施增强和文化转变来解决.
- 改善对抗生素耐药性模式的数据收集和传播对于知情的临床实践至关重要.
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