在呼吸道感染中最佳使用抗菌素的障碍和促进因素
Savannah Reali1,2,3, Jin-Gun Cho4,5, Jan-Willem Alffenaar1,2,3
1School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, Australia.
对呼吸道感染的最佳抗生素使用受到指导方针遵守问题的阻碍. 障碍物包括诊断不良和知识差距,而支持者则涉及更好的数据和管理协作.
科学领域:
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对呼吸道感染的抗生素使用往往不理想,导致抗菌素耐药性.
- 临床指导方针没有得到一致的遵循,需要对处方实践进行调查.
研究的目的:
- 确定在临床实践中使用的抗菌素处方指南.
- 描述医疗保健专业人员对遵守指南的看法.
- 探索阻碍和促进最佳抗微生物药物处方的障碍和因素,以治疗住院患者的呼吸道感染.
主要方法:
- 在澳大利亚新南威尔士,与17名医疗保健专业人员 (抗菌药物管理药剂师,呼吸道和传染病专家) 进行了定性半结构化访谈.
- 采访被录音,文字转录,并使用主题编码进行分析.
主要成果:
- 参与者主要使用了国家在线指南,发现它是可访问的,但太多言辞,缺乏全面的信息.
- 药剂师和医生之间对遵守指南的看法存在变化.
- 关键障碍包括诊断不足,人员短缺,治疗压力和知识缺口,而推动因素则涉及强大的管理团队,反机制和改进的决策支持工具.
结论:
- 国家指导方针存在,但遵守不一致,影响抗微生物药物管理.
- 解决诊断局限性,资源限制和知识差距等障碍对于改善处方至关重要.
- 建议采取以教育,反和增强决策支持工具为重点的干预措施,以优化抗微生物药物使用.
更多相关视频
03:22Author Spotlight: Advancing Pathogen Detection and Disease Assessment in Real-Time Using M-ROSE
Published on: March 1, 2024
10:26P. aeruginosa Infected 3D Co-Culture of Bronchial Epithelial Cells and Macrophages at Air-Liquid Interface for Preclinical Evaluation of Anti-Infectives
Published on: June 15, 2020
相关概念视频
Surface Membrane Barriers
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
Drugs Used in Lower Respiratory Disorders: Overview
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Drugs Used in Upper Respiratory Disorders: Overview
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Transmission-based Precautions II: Airborne and Protective Environment
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
