在约旦医院内泌尿外科手术的抗菌预防:多中心的定性研究
Sondos Abdaljaleel1, Rima Hijazeen1, Mariam Abdel Jalil2
1Department of Biopharmaceutics and Clinical Pharmacy, The University of Jordan, Amman, Jordan.
BMJ open
|May 19, 2025
概括
约旦的泌尿科医生因患者,临床医生和系统因素而面临抗菌预防 (AP) 准则遵守的障碍. 策略包括定制培训,当地指南和药剂师参与,以优化AP处方.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 遵守国际抗微生物预防 (AP) 准则对于内分泌学程序至关重要.
- 了解当地的障碍和促进者对于优化约旦AP处方至关重要.
研究的目的:
- 探索泌尿科医生对约旦AP指南遵守障碍和促进者的看法.
- 确定优化指导方针一致的AP处方用于内分泌手术的策略.
主要方法:
- 使用半结构面试对约旦的19名泌尿科医生进行定性研究.
- 采访数据的感应性主题分析,遵循报告定性研究的综合标准.
主要成果:
- 发现的障碍包括患者的期望,临床医生的恐惧 (感染,诉讼),指导方针的不熟悉以及系统问题 (工作量,通信).
- 促进者包括专业培训,基于耐药性数据的当地指南制定,患者教育和药剂师参与.
结论:
- 多方面的障碍阻碍了约旦泌尿科医生遵守AP指南.
- 未来的管理计划应侧重于当地定制的指导方针,临床医生培训和药剂师领导的审计,以改善AP处方.
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