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引起临床医生对无症状细菌性尿病的观点,以确定抗微生物药物管理教育和决策支持的目标

Michael J Durkin¹, Viktoria Schmitz², Kevin Hsueh¹

¹Division of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine, St Louis, Missouri, USA.

Open forum infectious diseases

|August 15, 2024

概括

临床医生希望获得更好的教育和患者材料,以减少对无症状细菌尿症的抗生素处方. 改善沟通策略和基于症状的测试对老年人来说至关重要.

科学领域:

老年病的医生老年病的医生
传染性疾病传染性疾病
医学教育医学教育

背景情况:

无症状的细菌性尿症在老年人中很常见.
过度使用抗生素有助于耐药性和不良事件.
目前的管理层往往缺乏以患者为中心的方法.

研究的目的:

了解临床医生对老年人无症状细菌性尿症管理的看法.
为患者教育材料的开发提供信息.
为了减少不必要的抗生素处方.

主要方法:

使用半结构面试对治疗65岁以上患者的临床医生进行定性研究.
在不同的临床环境 (传染病,初级保健,老年生活) 进行的采访.
使用感应和演编码对采访成绩单进行主题分析.

主要成果:

临床医生强调尿液测试解释和指导方针与实践紧张.
对患者和临床团队的教育材料表达了兴趣.
讨论了流行病学数据的使用和沟通策略.

结论:

针对症状指导治疗的教育对于减少抗生素使用至关重要.
应传播有关过度使用抗生素影响的数据.
患者和临床医生需要加强沟通策略.

关键词:

抗生素管理的管理.抗微生物药物管理管理无症状的细菌性尿症临床决策支持临床决策支持门诊患者的治疗方式主要护理是一级医疗保健.尿路感染尿路感染

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