印度初级和中等保健机构的抗菌管理计划:当前的挑战,促进者,感知和影响 - - 范围审查
Rajalakshmi Rajendran1, Shravya Chitrapady1, M U Tejashree1
1Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.
BMC infectious diseases
|November 11, 2025
概括
抗微生物药物管理计划 (AMSP) 对于打击印度的抗微生物药物耐药性 (AMR) 是至关重要的. 本次审查突出了稀缺的证据,并呼吁采取多方面的方法,在资源有限的环境中建立有效的AMSP.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 抗菌素耐药性 (AMR) 是一个全球性健康威胁,由世界卫生组织的全球行动计划 (WHO-GAP) 解决.
- 抗菌药物管理计划 (AMSP) 旨在优化抗生素的使用并改善患者的治疗结果.
- 关于印度AMSP的证据有限,特别是在农村和偏远地区.
研究的目的:
- 审查印度初级和中等保健中AMSP实践的现状.
- 确定在印度AMSP干预的挑战,推动者,医生看法和影响.
主要方法:
- 按照PRISMA-ScR指南对PubMed,Scopus和EMBASE进行系统的文献搜索.
- 专注于四个主要领域:障碍,促进者,处方者实践和干预影响.
- 包括2015年以后发表的印度初级和中等保健机构的研究.
主要成果:
- 五项研究符合纳入标准,揭示了严重的障碍,如缺乏医疗保健和对抗药性耐药性的认识有限.
- AMSP的促进者包括员工参与,审计反,行政支持和教育举措.
- 关于AMSP影响的数据有限,一项研究表明,抗生素处方改善,消费减少,住院时间缩短,死亡率降低.
结论:
- 由于现有的证据稀少,在资源有限的印度环境中广泛实施AMSP非常需要.
- 需要一个全面的战略,包括熟练的人员,量身定制的干预措施,可访问的指导方针,财政支持和能力建设.
- 有效的AMSP建立是通过协调,多方面的方法可以实现的.
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