抗微生物管理指南的质量,可用性和适用性:一项跨国定性研究
Zane Linde-Ozola1, Annika Y Classen2,3,4, Christian G Giske5,6
1Faculty of Medicine, University of Latvia, Riga, Latvia.
JAC-antimicrobial resistance
|March 15, 2024
概括
医生需要更好的抗微生物药物管理 (AMS) 指导,重点关注质量,专家可用性和部门相关性. 改进这些指南对于优化抗生素使用和打击抗菌素耐药性至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抗微生物药物管理 (AMS) 计划对于有效的感染治疗,患者安全和减少抗微生物药物耐药性至关重要.
- 有效的AMS依赖于医生对抗生素处方决定的指导.
- 了解医生对AMS指导的经验是优化这些计划的关键.
研究的目的:
- 为了探索处方医生的用户经验与当前的AMS指导.
- 确定医生对医院AMS指导的需求和所需改进.
主要方法:
- 在6个国家 (加拿大,德国,以色列,拉脱维亚,挪威,瑞典) 与36名医生进行了半结构化采访.
- 利用社会生态模型作为研究的概念框架.
- 这是国际PILGRIM试验的一部分.
主要成果:
- 医生希望获得比目前提供的更多的AMS指导.
- 需要改进的关键领域包括指南质量,传染病专家的可用性,以及指南对特定部门的上下文适用性.
结论:
- 谨慎使用抗生素取决于指导的质量,可用性和适用性,而不仅仅是处方者的承诺.
- 增加利益相关者的承诺和资源配置是必要的,以满足处方者对有效AMS指导的需求.
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