针对急性鼻炎的抗菌素处方模式2015-2022年:与已出版的指南进行比较
Sarit Dhar1, Dhruv S Kothari2, Ana L Tomescu1
1Department of Otolaryngology - Head & Neck Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.
对急性鼻炎 (ARS) 处方抗生素的医生经常偏离指导方针. 建议使用基于阿莫西西林的疗法,但经常过度使用类药物,可能会增加抗生素耐药性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 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:
- 急性鼻炎 (ARS) 是初级保健和耳鼻喉学中常见的疾病.
- 目前针对ARS的抗生素处方实践与既定指南相比并未得到充分理解.
研究的目的:
- 为了检查ARS的流行病学.
- 评估针对ARS的抗生素处方模式.
- 将处方实践与2015年美国耳鼻喉科学院指南进行比较.
主要方法:
- 使用TrinetX Live数据库进行患者识别 (ICD10代码J01).
- 分析了田纳西州2015年4月至2022年12月的数据.
- 将ARS诊断后一天内最初的抗生素处方与指导方针进行比较.
主要成果:
- 确定了81,310名ARS患者;69.8%的患者在一天内接受了抗生素.
- 亚莫西西林/克拉夫兰酸 (25.3%) 和亚莫西西林 (16.4%) 是最常见的,但宏酸 (25.8%) 是最常见的.
- 只有42.2%的抗生素处方符合指南建议.
结论:
- 医生遵守ARS抗生素指南是不理想的.
- 尽管存在耐药性问题,但过度依赖宏类是普遍存在的.
- 建议提高医生意识,对处方模式进行进一步研究,以改善抗生素管理.
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