药剂师打击抗微生物药物耐药性:德尔菲关于分发抗生素的研究
Maarten Lambert1, Anneloes Wonink1, Ria Benko2
1Unit of PharmacoTherapy, Epidemiology and Economics, Groningen Research Institute of Pharmacy, University of Groningen, 9713, AV, Groningen, the Netherlands.
概括
社区药剂师在发放抗生素方面发挥着关键作用. 这项研究确定了优质抗生素使用的最佳任务,并发现患者咨询和教育是可行的,但其他任务面临实施障碍.
科学领域:
- 制药科学 制药科学
- 公共卫生 公共卫生
- 药房实践 在药房实践.
背景情况:
- 社区药剂师每天分发抗生素,但确保使用质量的最佳做法尚未明确.
- 了解具体的作用和这些作用的实施可行性对于改善抗生素管理至关重要.
研究的目的:
- 定义社区药剂师在分发抗生素时的具体任务.
- 评估这些任务在整个欧洲的实际实施可行性.
主要方法:
- 德尔菲研究涉及来自欧洲经济区21个国家的38名专家.
- 系统的文献审查以确定潜在的药剂师任务,然后进行三轮专家评价的重要性和可行性.
- 共识定义为:关于重要性达成80%以上的共识 (评分7-9).
主要成果:
- 在五个主题的108个任务上达成共识:处方者合作,处方检查,患者咨询,教育和药房服务.
- 关键任务包括向处方者提供建议,安全检查,以及对抗生素和抗菌素耐药性的患者咨询.
- 实施可行性共识仅在患者咨询和教育方面达成;障碍包括医疗保健系统结构,对变革的抵抗力和缺乏资源.
结论:
- 社区药剂师对于有效的抗生素发行和管理至关重要.
- 该研究概述了改善欧洲社区药房抗生素分发实践的基本任务,突出了针对性干预的领域.
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