在初级保健中为儿童抗生素开发数据支持的推动干预:一种定性研究
Oliver Van Hecke1, Aleksandra Borek2, Christopher Butler2
1Department of Public Health and Primary Care, Ghent University, Ghent, Belgium oliver.vanhecke@ugent.be.
BJGP open
|September 16, 2024
概括
一项新的干预措施促使临床医生了解儿童的呼吸道感染抗生素病史,以优化处方. 这种方法被父母和医生认为是可以接受和可行的,有助于抗菌药物管理.
科学领域:
- 儿科 儿科 儿科
- 一般实践一般实践
- 传染性疾病 传染性疾病
背景情况:
- 幼儿园儿童在急性呼吸道感染 (RTIs) 中处方抗生素的比例很高.
- 儿童对RTIs的抗生素病史可以预测初级保健中的重新咨询和工作量.
研究的目的:
- 开发一种基于数据的干预措施,以优化一般实践中急性RTIs的抗生素处方.
- 这种干预利用了孩子的抗生素病史.
主要方法:
- 一项两阶段的定性研究涉及英格兰的家长和初级保健临床医生.
- 干预的共同设计包括重点小组和采访;第二阶段涉及临床医生对综合干预的反.
主要成果:
- 共同创建了一个数据驱动的干预,将抗生素史和个性化传单整合到电子医疗记录中.
- 父母和临床医生认为这种干预是可以接受和可行的.
- 临床医生注意到提示的新性和有用性在审查过去的抗生素处方.
结论:
- 整合到实践工作流程中的干预措施可以扩大规模,以促进抗微生物药物管理.
- 这种方法可以减少初级保健中不必要的抗生素使用.
- 计划进行进一步的研究,以在试验中测试干预措施.
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