不适当的处方导致澳大利亚幼儿高抗生素暴露
Stejara A Netea1,2, Nicole L Messina1,3, Kaya Gardiner1,4
1Infectious Diseases Research Group, Murdoch Children's Research Institute, Parkville, Australia.
The Journal of antimicrobial chemotherapy
|April 17, 2024
概括
在幼儿中,抗生素暴露很常见,三分之二的儿童在两年内接受了处方. 超过四分之一的抗生素使用可能是不必要的,这引发了人们对耐药性和长期健康状况的担忧.
科学领域:
- 儿科健康 儿科健康
- 抗微生物药物管理委员会
- 公共卫生 公共卫生
背景情况:
- 生命早期的抗生素暴露与抗菌素耐药性增加和潜在的长期健康问题,如过敏和体重增加有关.
- 了解婴儿抗生素使用模式对于减轻这些风险至关重要.
研究的目的:
- 评估澳大利亚儿童在生命的头两年内接触抗生素的情况.
- 为了确定影响抗生素处方的因素.
- 评估抗生素使用的适当性.
主要方法:
- 分析了MIS BAIR随机对照试验中1201名参与者的数据.
- 利用多变量逻辑回归来识别与抗生素暴露相关的因素.
主要成果:
- 到两岁时,67%的儿童至少接受过一次抗生素疗程,最高处方时间在9-18个月之间.
- 通常处方的抗生素包括阿莫西西林 (59%) 和头素 (7%),通常用于呼吸道感染和中耳炎.
- 与暴露相关的因素包括剖腹产,冬季分娩,母亲使用抗生素,配方养和日托服务. 27%的治疗是针对不太可能需要抗生素的疾病.
结论:
- 大多数儿童在生命早期接触过抗生素.
- 婴儿的抗生素处方中很大一部分可能是不合适的,这凸显了需要改善管理的需要.
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