不合理的抗微生物组合的兴起:需要临床法学吗?
Riddhi Kundu1, Tanima Baronia1, Prachee Sathe1
1Department of Critical Care Medicine, Ruby Hall Clinic, Pune, Maharashtra, India.
概括
该研究讨论了反理性抗微生物组合的日益使用,强调了临床法律学术的迫切需要,以指导适当的抗微生物治疗. 这种方法对于有效治疗和预防抗菌素耐药性至关重要.
科学领域:
- 临界护理医学 临界护理医学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗微生物组合经常用于重症监护.
- 许多组合的理由往往不是基于证据的.
- 不合理的使用有助于抗菌素耐药性和增加医疗保健成本.
研究的目的:
- 为了突出非理性抗微生物组合的日益增长的趋势.
- 强调在选择抗微生物疗法时需要采用一种结构化的方法,称为"临床法学".
- 倡导在抗微生物药物处方方面制定基于证据的指导方针.
主要方法:
- 审查当前的处方实践.
- 对支持抗微生物组合的文献进行分析.
- 对抗微生物药物治疗中应用的临床法学原则的讨论.
主要成果:
- 没有明确的临床理由,大量的抗微生物药物组合被处方.
- 缺乏可靠的临床数据支持许多经验组合的疗效和安全性.
- 不合理组合的增加对抗微生物药物管理构成威胁.
结论:
- 对于抗微生物药物组合,有必要建立临床法律学说.
- 基于证据的决策应该指导抗菌剂的选择.
- 实施更严格的指导方针可以改善患者的治疗结果,并打击抗菌素耐药性.
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