在皮肤病学和非皮肤病学门诊提供者之间比较hidradenitis suppurativa的抗生素处方模式
Hannah Tolson1, Robin Kikuchi2, Rebecca K Yamamoto3
1University of Arizona College of Medicine Phoenix Arizona USA.
Skin health and disease
|October 2, 2024
概括
皮肤科医生比其他临床医生更有可能为hidradenitis suppurativa (HS) 开处方四环素. 这项研究比较了皮肤病学和非皮肤病学提供者之间的HS抗生素处方模式.
科学领域:
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 口服抗生素经常用于补性炎 (HS),因为它们具有抗炎和抗菌作用.
- 关于抗生素管理的担忧已经出现,因为抗生素的常见使用HS.
- 关于皮肤病学和非皮肤病学临床医生之间HS抗生素处方的差异的研究有限.
研究的目的:
- 为了比较皮肤病学和非皮肤病学临床医生之间对 hidradenitis suppurativa (HS) 的抗生素处方模式.
- 根据临床医生类型分析处方整体抗生素和特定类别 (如四环素) 的可能性.
主要方法:
- 从2005年到2016年使用国家门诊医疗调查 (NAMCS) 数据库.
- 对被诊断患有补腺炎 (HS) 的患者进行识别的门诊访问.
- 采用多变量逻辑回归来比较皮肤病学和非皮肤病学提供者之间的抗生素处方做法.
主要成果:
- 总共分析了2,424,125次加权的HS访问;皮肤科医生占28%,非皮肤科医生占72.0%.
- 抗生素在51.9%的HS访问中被处方.
- 与非皮肤科医生相比,皮肤科医生处方环素的可能性明显高 (OR 5.48,p=0.03),尽管整体抗生素处方概率没有差异 (p=0.35).
结论:
- 皮肤病学临床医生显示,与非皮肤病学临床医生相比,对 hidradenitis suppurativa (HS) 处方四环环素的可能性显著更高.
- 这些发现突出了基于临床专业的HS治疗抗生素类别偏好的潜在差异.
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