马来西亚急性喉疼痛的治疗:使用修改后的德尔菲方法的多学科建议的共识
Baharudin Abdullah1, Kar Chai Koh2, Mohazmi Mohamed3
1School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Infection and drug resistance
|September 30, 2024
概括
抗菌素耐药性 (AMR) 是急性喉痛治疗的一个问题. 指南建议使用麦克艾萨克评分和NSAIDs的症状性疼痛缓解等诊断工具,以减少不必要的抗生素处方.
科学领域:
- 一般医学 一般医学.
- 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:
- 急性喉疼痛的管理受到抗菌素耐药性 (AMR) 增加的挑战.
- 过度处方抗生素,特别是针对病毒感染的抗生素,会加剧AMR.
- 提高诊断准确度和患者的治疗结果至关重要.
研究的目的:
- 建立基于证据的共识陈述来管理急性喉痛.
- 减少不必要的抗生素处方,改善患者的治疗结果.
- 解决抗生素使用与AMR之间的联系.
主要方法:
- 一个多学科专家小组审查了文献和当前实践.
- 开发了十个基于证据的陈述.
- 使用了经过修改的Delphi练习,达到70%的共识值.
主要成果:
- 在所有10个声明上都达成了共识.
- 人们认识到,由于不适当的抗生素处方导致AMR的重大问题.
- 建议使用诊断工具 (麦克艾萨克分数,GABHS的POCT) 和症状治疗 (NSAIDs,软).
结论:
- 临床诊断工具和谨慎的抗生素使用对于急性喉疼痛至关重要.
- 麦克艾萨克分数和临床检测有助于抗生素决策,减少不必要的处方.
- 症状治疗,特别是NSAIDs,是主要的治疗方法.
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