挪威的管理:全科医生和皮肤科医生处方 (2012-2019),全国概述
Cathrine S Christiansen1, Sigurd Høye1, Morten Lindbaek1
1The Antibiotic Centre for Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
BJGP open
|May 20, 2025
概括
一般医生 (GPs) 减少了对的四环素处方,但可以改善抗生素的使用. 医生增加对异二的处方可能会减少对抗生素的依赖,并加强对中度至重度的治疗.
科学领域:
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 是一种普遍的皮肤疾病,具有显著的心理社会影响和痕的风险.
- 一般医生 (GPs) 是系统性治疗的主要处方者,特别是抗生素.
- 目前的治疗趋势,包括异丁诺因和四环素,并没有得到充分的记录.
研究的目的:
- 分析2012年至2019年挪威的治疗模式.
- 量化全科医生对异丁和四环素的处方率和启动趋势.
- 评估抗生素管理对管理的潜在改进.
主要方法:
- 来自挪威处方数据库和国家GP索赔登记册 (2012-2019) 的数据的回顾性分析.
- 包括被诊断患有或处方药的12-39岁患者.
- 利用线性回归来识别处方实践中的时间趋势.
主要成果:
- 在2012年至2019年期间,系统性治疗的患病率从1.9%增加到2.4%.
- 异丁氨酸的处方增加了123%,而四环素的处方增加了4% (定义的每日剂量).
- 全科医生减少了11%的四环素处方,但治疗持续时间往往超过了建议,局部治疗的同时处方不足于最佳水平.
结论:
- 虽然全科医生减少了四环素的处方,但对的抗生素管理需要进一步改进.
- 总医生增加对异二胺的启动,为减少抗生素使用提供了机会.
- 优化适度至重度的处方实践,可能通过增加异丁的使用,可以带来更好的患者结果.
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