影响长期抗生素处方治疗的障碍和促进因素
Ronnie A Festok1, Avni S Ahuja1, Jared Y Chen1
1Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia.
JAMA dermatology
|April 3, 2024
概括
皮肤科医生面临限制长期口服抗生素用于的障碍,包括患者的要求和缺乏实践变革的证据. 解决这些因素对于皮肤病学中有效的抗生素管理计划至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 皮肤科医生开口抗生素的处方比任何其他专业医生都要多.
- 临床指南建议将口服抗生素治疗的时间限制在3个月以下.
- 在皮肤病学中设计抗生素管理计划的证据有限.
研究的目的:
- 确定影响长期口服抗生素处方治疗的关键障碍和促进因素.
- 在皮肤病学实践中为开发抗生素管理倡议提供信息.
主要方法:
- 使用在线调查和半结构化视频访谈进行的定性研究.
- 涉及皮肤科医生,传染病医生和其他临床医生.
- 基于"理论领域框架"的主题分析.
主要成果:
- 对指导方针的高度意识和对管家责任的信念.
- 五个主题出现了:缺乏实践变革的证据,患者的要求,避孕讨论,iPLEDGE障碍,以及缺乏进步测量.
- 分析了30名参与者 (47%的男性,53%的女性).
结论:
- 多种因素影响长期处方抗生素治疗.
- 在设计皮肤病学门诊抗生素管理计划时,必须考虑这些因素.
- 解决这些障碍可以改善抗生素在管理中的使用.
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