在中等保健中心的儿科病房中处方抗生素的模式:基于世卫组织AWaRe分类的回顾性研究
Afia Tariq Butt1, Sobia Ramzan1, Dania Shabbir2
1Aga Khan University Hospital, Karachi, Pakistan.
Global pediatric health
|November 1, 2024
概括
抗菌素耐药性 (AMR) 是全球主要的健康威胁,特别是在儿童中. 这项研究发现,在儿科肺炎中使用广谱抗生素的比例很高,这突显出需要更好的处方来对抗AMR.
科学领域:
- 全球健康 全球健康
- 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:
- 在全球范围内,抗菌素耐药性 (AMR) 导致显著的死亡率.
- 由于滥用抗微生物药物,儿童群体特别容易受到AMR的影响.
研究的目的:
- 调查儿科病房的抗生素处方模式.
- 评估遵守世卫组织对抗生素使用的AWaRe分类.
主要方法:
- 追溯,横截面,多中心研究.
- 分析了4家二级护理医院的6934次儿科接触.
- 使用了世卫组织的访问,观察和储备 (AWaRe) 分类.
主要成果:
- 抗生素在78.1%的遭遇中被处方;静脉注射占主导地位 (98.6%).
- 最常见的是塞夫特里亚克松 (45.8%) 和第三代塞法洛斯波林 (54.4%).
- 肺炎的处方率最高 (99.9%),使用>80%的观察组抗生素.
结论:
- 观察小组在儿童肺炎中使用抗生素的高率观察到.
- 迫切需要进行干预,以优化儿科的抗生素处方.
- 缓解AMR需要有针对性的战略来改善抗生素管理.
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