非洲的抗生素管理计划和抗生素使用:系统性审查和元分析协议
Ammas Siraj Mohammed1, Dawit Abrham1
1Clinical Pharmacy Department, School of Pharmacy, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
PloS one
|October 17, 2025
概括
抗微生物药物管理计划 (ASP) 对于在非洲打击抗微生物药物耐药性 (AMR) 是至关重要的. 本综述综合了关于ASP如何影响抗生素使用的证据,为资源有限的环境中的干预提供了信息.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗菌素耐药性 (AMR) 构成了全球健康的重大威胁,特别是在非洲,因为传染病的发病率很高.
- 抗生素管理计划 (ASP) 是重要的干预措施,但它们对非洲抗生素使用的影响需要全面综合.
研究的目的:
- 系统地审查和元分析ASP与非洲医疗保健机构抗生素使用之间的关联.
- 提供关于ASP在减少抗微生物消费方面的有效性的综合证据.
主要方法:
- 在多个数据库 (PubMed,Embase,CINAHL,科学网,非洲期刊在线,世卫组织全球指数医学) 中进行系统搜索.
- 包括ASP和抗微生物消费的原始研究;不包括动物和环境研究.
- 使用EPHPP工具进行数据提取和质量评估;用于聚合分析的多层随机效应模型.
主要成果:
- 该审查将量化ASP与减少抗微生物消费之间的关联.
- 关键的结果指标包括接受抗生素的患者比例和每100个患者日的定义每日剂量.
结论:
- 预计将提供有关ASP在减少非洲抗菌药物使用方面的有效性有价值的综合证据.
- 结果将指导政府和非政府组织以证据为基础的干预措施,以在资源有限的环境中对抗抗菌素耐药性.
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