对有关剩余抗生素的患者实践的调查揭示了抗生素过度使用的潜在来源
Jesal Shah1, Barbara W Trautner2,3, Kiara Olmeda4
1Section of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Antimicrobial agents and chemotherapy
|July 8, 2024
概括
许多患者因为感觉好转而提前停止服用抗生素,并且经常储存剩余的药物. 这种做法对抗生素有效性和管理构成风险,需要全面的解决方案.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 不适当地使用剩余的抗生素对患者的安全和抗菌素耐药性构成风险.
- 了解患者对抗生素使用的行为对于有效的抗生素管理至关重要.
研究的目的:
- 调查早期停止使用抗生素和使用剩余抗生素的原因.
- 在成年患者中确定与以前和未来使用剩余抗生素相关的因素.
主要方法:
- 在初级保健和急诊室的成年患者中进行了一项横截面调查.
- 数据收集发生在2020年1月至2021年6月期间的英语和西班牙语.
- 该调查评估了早期停止使用抗生素的原因,剩余抗生素的管理以及社会人口统计因素.
主要成果:
- 45%的患者报告提前停止服用处方抗生素,主要是因为感觉好了 (77%).
- 26%的参与者以前曾使用过剩余的抗生素,51%的参与者打算在未来使用它们.
- 护理障碍 (运输,语言) 与未来剩余抗生素使用的更高意图有关.
结论:
- 早期停止使用抗生素的原因往往是症状的消失,这导致了保存剩余药物的常见做法.
- 解决剩余抗生素使用的连续性,从处方到患者行为,对于打击非处方使用至关重要.
- 干预措施应考虑患者的障碍,并促进适当的抗生素补充和处置.
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