印度的牙科抗生素政策,管理和实施:政策文件分析
Aarthi Bhuvaraghan1,2, Rebecca King3, John Walley3
1School of Dentistry, University of Leeds, Leeds, UK.
Community dentistry and oral epidemiology
|June 18, 2024
概括
印度牙科抗生素管理缺乏明确的指导方针. 目前的政策不充分解决适当的处方和抗菌素耐药性 (AMR),迫切需要在国家行动计划中制定具体的牙科指南.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 牙科医学 牙科医学
背景情况:
- 抗菌素耐药性 (AMR) 是一个重大的全球健康威胁,特别是在低收入和中等收入国家.
- 印度面临着AMR的高负担,也是抗生素的主要消费国,拥有大量的牙科处方医生.
- 在牙科中滥用抗生素有助于AMR日益增长的挑战.
研究的目的:
- 评估印度目前关于牙科抗生素处方和管理的政策和实践与全球最佳实践的一致性.
- 发现印度现有的有关牙科抗生素管理的政策和教育资源的差距.
主要方法:
- 在九个数据库,目标网站和专家咨询中进行了系统的文献搜索,以确定相关的政策文件.
- 在数据提取和合成中采用了READ方法.
- 框架分析被用于对牙科抗菌药物管理提取的数据进行分类.
主要成果:
- 对25份文件的分析显示,在印度牙科中,缺乏针对适当的抗生素处方的具体指导方针或工具包.
- 关键的国家指导方针,包括印度医学研究委员会和印度牙科委员会课程的指导方针,缺乏关于牙科抗生素处方和AMR管理的内容.
- 在审查的文件中,没有针对牙医或抗生素管理患者的教育资源.
结论:
- 印度现有的政策文件,包括针对抗菌素耐药性的国家行动计划,在很大程度上忽略了对牙科抗生素处方的具体指导.
- 一些政策中的相互矛盾信息可能会无意中促进对牙科疾病的不适当抗生素使用.
- 迫切需要制定并将全面的牙科抗生素管理指南纳入印度国家AMR行动计划.
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