确定适当使用抗生素的AWaRe指标:叙述性审查
Elisa Funiciello1, Giulia Lorenzetti1, Aislinn Cook1,2
1Centre for Neonatal and Paediatric Infection, St. George's University of London, London SW17 0RE, UK.
The Journal of antimicrobial chemotherapy
|October 18, 2024
概括
这次审查确定了773个抗生素使用的质量指标. 虽然许多人与世界卫生组织保持一致.
科学领域:
- 抗微生物药物管理委员会
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
背景情况:
- 质量指标 (QI) 对于有效的抗生素管理计划至关重要.
- 世界卫生组织 (WHO) 开发了访问,观察,储备 (AWaRe) 系统,以根据耐药性选择潜力对抗生素进行分类.
- 关于抗生素使用的现有QA需要评估,以告知未来基于AWaRe的QA的发展.
研究的目的:
- 确定和分析现有的质量指标,以实现最佳的抗生素使用.
- 评估当前指标与世卫组织AWaRe系统提供的指南的一致性.
- 为开发新的,适用于全球的基于AWaRe的抗生素管理质量指标提供信息.
主要方法:
- 在PubMed进行了全面的文献搜索,寻找有关医院和初级保健机构抗生素使用QI的文章.
- 提取了有关感染类型,医疗保健环境,质量评估目标和指标开发方法的数据.
- 确定了反映 AWaRe 系统原则和指导的指标.
主要成果:
- 总共有773个抗生素使用QI被确定,主要针对卫生服务管理,抗生素消费和处方/发行实践.
- 指标在初级和二级护理中分布相似,重点关注呼吸道感染.
- 虽然只有1%的指标明确提到AWaRe系统,57.6%反映了其基本指导.
结论:
- 对于适当使用抗生素存在许多质量指标,但很少有直接基于世卫组织的AWaRe系统.
- 开发全球适用的,AWaRe调整的指标是非常需要的.
- 将基于AWaRe的指标整合到抗生素管理计划中,对于优化抗生素使用和打击耐药性至关重要.
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