改善抗生素管理和处方的远程医疗干预:系统性审查
Ghasem Dolatkhah Laein1, Javad Raeesi2, Ali Mokhtari3
1Mashhad University of Medical Sciences, Mashhad, Iran.
PloS one
|April 3, 2025
概括
远程医疗显著增强了抗生素管理计划,减少了高达62.7%的抗生素使用. 这一系统性审查证实了它的有效性,特别是在医院环境中,与传统护理相比.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
- 数字健康数字健康
背景情况:
- 越来越严重的抗生素耐药性危机要求改善抗生素管理计划.
- 远程医疗为提供增强的抗生素管理干预提供了一个可行的战略.
- 有关远程医疗对抗生素管理的影响现有证据需要进行系统评估.
研究的目的:
- 系统地审查和评估远程医疗干预措施在优化各种临床环境中的抗生素管理方面的有效性.
- 评估远程医疗对抗生素使用,准则遵守和处方率的影响.
- 综合关于远程医疗与面对面的抗生素管理咨询相对有效性的证据.
主要方法:
- 按照PRISMA指南,在七个数据库 (2010年1月至2024年7月) 进行了系统的文献搜索.
- 两位独立审查员使用ROBINS-I和Cochrane偏差风险2.0工具评估了研究质量.
- 使用GRADE评估证据确定性;包括21项研究 (观察性,准实验性,RCT,混合方法).
主要成果:
- 在报告抗生素使用结果的研究中,90.9%的研究显示显著减少 (5.3%62.7%);高质量的证据表明28%的减少.
- 远程医疗干预实现了高准则遵守率 (67.7%98%) 的有效性与面对面咨询相美.
- 住院远程医疗显著降低了处方率 (RR 0.68),而门诊设置显示出不同的结果.
结论:
- 远程医疗是改善抗生素管理的有效策略,特别是在住院环境中.
- 远程医疗干预的有效性与传统的面对面咨询相美,以确保遵守指南.
- 可能需要进一步的研究来优化门诊远程医疗的应用程序,用于抗生素管理.
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