匈牙利全科医院儿科医生对疑似呼吸道感染的抗生素处方行为:一种定性研究
Balázs Babarczy1,2, Ágnes Hajdu2, Ria Benko3
1Syreon Research Institute, Budapest, Hungary.
匈牙利的儿科医生有时会开抗生素,这些抗生素有助于抗菌素耐药性 (AMR),尽管努力更谨慎的处方. 需要解决知识和沟通方面的差距,以有效打击抗药性耐药性.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 不适当的抗生素处方是抗菌素耐药性 (AMR) 的首要驱动因素.
- 了解医生处方行为对于开发有效的AMR制策略至关重要.
研究的目的:
- 探索匈牙利儿科全科医生 (GPs) 对疑似呼吸道感染 (RTIs) 的抗生素处方实践.
- 通过能力-机会-动机-行为 (COM-B) 框架来分析这些做法.
主要方法:
- 采用了定性研究设计,利用个人,半结构化的电话或虚拟访谈.
- 在匈牙利采访了22名来自不同年龄,性别和地理背景的儿科全科医生.
- 分层的最大变化采样确保了不同处方率领域的代表性.
主要成果:
- 一般医生的处方决定受个人经验,体检和对儿童健康的整体方法的影响,包括社会因素和父母的偏好.
- 一些全科医生对他们的治疗选择表示信心,即使承认对抗药物耐药性发展的潜在贡献.
- 虽然有些人认为抗生素处方频率有所下降,但医生和公众之间注意到有关抗生素和AMR的知识差距.
结论:
- 对抗生素处方更加谨慎的趋势可能正在出现,但仍然存在重大知识和意识差距.
- 匈牙利针对抗抗菌药物耐药性的国家行动计划需要实施,加上加强专业沟通和对初级保健医生的反机制.
- 解决这些差距对于加强意识和减轻抗菌素耐药性日益增长的威胁至关重要.
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