在一般实践中使用异二来治疗的能力和临床指南:范围审查
Diarmuid Quinlan1,2, Laura Sahm3, Linda O'Keeffe4,5,6
1Department of General Practice, School of Medicine, University College Cork, Cork, Ireland drdiarmuidquinlan@hotmail.com.
概括
这次审查确定了为处方口服异丁治疗的基本临床能力,包括皮肤病学,怀孕预防,心理健康和血液检测. 支持全科医生 (GPs) 可以改善安全和公平的患者获得这种治疗.
科学领域:
- 皮肤病学 皮肤病学
- 临床实践指南 临床实践指南
- 医学教育 医学教育
背景情况:
- 是一种流行,慢性皮肤疾病,对患者造成重大负担.
- 对异二因的不公平获取和对过度使用抗生素在管理中的担忧需要澄清指南.
- 临床实践指南 (CPG) 和共识声明对于标准化治疗至关重要.
研究的目的:
- 在全球范围内系统审查临床实践指南和共识声明.
- 确定推的临床能力,用于处方口服异丁治疗.
- 为改善患者获得异丁和抗菌药物管理的战略提供信息.
主要方法:
- 采用了综合范围审查方法,以阿克西和奥马利框架和乔安娜·布里格斯研究所的指导为指导.
- 在六个主要数据库,三个指南库和灰色文献中进行了广泛的文献搜索.
- 使用AGREE II检查清单进行的研究选择,数据提取和质量评估是由两个研究人员独立执行的.
主要成果:
- 八个临床实践指南 (CPG) 符合纳入标准,来自欧洲,北美和亚洲.
- 关于合适的处方方针的指导方针各不相同,皮肤科医生普遍推,四个CPG确定了全科医生.
- 对于安全的异二胺处方的关键临床能力包括皮肤病专业知识,怀孕预防策略,心理健康评估和实验室监测 (血液检测).
结论:
- 在患者中安全使用异丁治疗的基本能力包括皮肤病学,怀孕预防,心理健康评估和血液检测.
- 授权和支持全科医生采用这些能力,可以提高及时和公平的患者获得异二胺.
- 由训练有素的全科医生协助改善对异二胺的获取,也可以通过减少对抗生素的依赖,为更好的抗菌药物管理做出贡献.
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