在乌干达的卫生专业人员中鼓励适当使用抗微生物药物的行为冲击
Allison Ross1, Philip J Meacham1, J P Waswa2
1Deloitte Consulting LLP, Arlington, VA 22209, USA.
Antibiotics (Basel, Switzerland)
|November 27, 2024
概括
行为干预,使用"推动",改善了乌干达医院对抗微生物药物处方指南的遵守. 虽然立即有所改善,但一个月后效果会减弱,这凸显了对抗抗菌素耐药性 (AMR) 持续策略的需要.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 传染病流行病学 传染病流行病学
背景情况:
- 抗微生物药物耐药性 (AMR) 是一个关键的全球卫生问题,因不适当使用抗微生物药物而恶化,特别是在像乌干达这样的资源较低的国家.
- 乌干达医院不适当的抗菌素处方做法大大导致了AMR危机.
研究的目的:
- 开发和评估一种文化敏感的行为干预,使用"推"策略来加强医疗保健提供者遵守2016年乌干达临床指南 (UCG 2016).
- 评估行为推动对五家乌干达医院内的抗菌素处方实践的影响,作为更广泛的抗菌素管理工作的一部分.
主要方法:
- 一种混合方法的方法,结合了培养性研究 (关键信息人采访) 和行为干预.
- 干预措施包括感知监测,病房排行榜和教育研讨会,以德勤行为洞察框架为指导.
- 使用世界卫生组织 (WHO) 在干预前,干预后和干预后一个月阶段的点患病率调查 (PPS) 来评估影响.
主要成果:
- 行为干预方案显著提高了对抗微生物药物处方的UCG 2016的遵守,从基线时的27%提高到干预后立即的50%.
- 对遵守的积极影响在一个月后的后续评估中减少.
结论:
- 在低收入和中等收入国家,行为推动提供了一种可行,具有成本效益和可持续的战略,以改善抗菌素处方和打击抗菌素耐药性.
- 虽然观察到遵守的立即改善,但在一个月的随访后效应的减弱表明需要持续或适应的干预措施.
关键词:
现在还在等待乌干达 乌干达 乌干达 乌干达 乌干达抗微生物药物处方合规性要求抗微生物耐药性 抗微生物耐药性抗微生物药物管理管理改变行为 改变行为行为冲动是指行为冲动.临床指南 临床指南实施研究研究研究.调查点患病率调查点患病率调查更多相关视频
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