一般医生对母乳养妇女乳腺炎的管理:澳大利亚的一项混合方法研究
Lisa H Amir1,2, Sharinne B Crawford3,4, Meabh Cullinane3,5
1Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Victoria, Australia. L.Amir@latrobe.edu.au.
BMC primary care
|May 10, 2024
概括
澳大利亚的全科医生主要为乳腺炎开处方抗生素,主要遵循指南. 虽然意识到抗生素并不总是必要的,但像母乳培养等研究的利用不足,这表明需要进一步的GP培训.
科学领域:
- 一般的做法一般的做法
- 抗生素管理局 抗生素管理局
- 传染病管理 传染病管理
背景情况:
- 乳腺炎是女性经常咨询全科医生的原因之一.
- 澳大利亚的全科医生依赖于治疗指南:抗生素治疗乳腺炎.
- 目前澳大利亚一般医生对乳腺炎的处方和调查做法尚不清楚.
研究的目的:
- 评估澳大利亚全科医生对乳腺炎的抗生素处方和调查模式.
- 将当前的做法与治疗指南中的建议进行比较:抗生素.
- 通过全科医生的乳腺炎管理,确定需要改进的领域.
主要方法:
- 融合混合方法设计,将MedicineInsight数据集 (2021-2022) 的定量分析与GP访谈的定性分析相结合.
- 从大型初级保健数据集中确定了乳腺炎的遭遇,但不包括颗粒状乳腺炎.
- 对14名澳大利亚全科医生的半结构面试进行主题分析,并使用支柱整合过程与定量发现进行整合.
主要成果:
- 超过91%的乳腺炎妇女接受了口服抗生素,主要是di/flucloxacillin或cefalexin.
- 检查包括超声波 (8.9%) 和培养 (约. 1%) 很少被订购.
- 一般医生的管理与指导方针保持一致,支持母乳养和优先考虑抗生素,但疼痛缓解被认为是指导方针中的差距.
结论:
- 抗生素处方仍然是澳大利亚全科医生的乳腺炎管理的核心.
- 一般医生意识到细微的抗生素使用,延迟处方是常见的.
- 虽然遵循了抗生素管理原则,但需要对何时下令进行调查进行培训.
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