结核病护理中的抗菌药物管理的临床标准
T T Brehm1,2,3, O W Akkerman4,5, G Sotgiu6,7
1Department of Clinical Infectious Diseases, Research Center Borstel, Leibniz Lung Center, Borstel, Germany.
针对结核病 (TB) 抗微生物药物管理 (AMS) 制定了十项临床标准,以打击抗微生物药物耐药性 (AMR). 这些指导方针支持全球卫生倡议的有效结核病特异性AMS战略.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 微生物学 微生物学
背景情况:
- 抗微生物药物管理 (AMS) 对于解决抗微生物药物耐药性 (AMR) 问题至关重要.
- 针对结核病 (TB) 的特定AMS策略尚未明确定义.
- 需要对结核病特异性AMS采取标准化的方法.
研究的目的:
- 定义和建立基于共识的结核病特定抗菌药物管理 (AMS) 的临床标准.
- 为全球实施有效的以结核病为重点的AMS战略提供框架.
主要方法:
- 进行了德尔菲进程,涉及62名国际专家.
- 评估了10个临床标准草案,使用5分利克尔特尺度.
- 共识被定义为专家在标准采用方面达成≥90%的共识.
主要成果:
- 所有10个拟议的临床标准都达到了共识值,并被采用.
- 标准涵盖结核病纳入抗药性计划,监测,教育,AMS活动,专家咨询,预防性治疗,诊断,治疗方案优先,监测和失败评估.
- 通过的标准为特异性结核病AMS提供了一个全面的框架.
结论:
- 开发的临床标准旨在指导临床医生,项目经理和公共卫生当局.
- 这些标准有助于实施有效的,针对TB的AMS战略.
- 这些指导方针涉及结核病护理的关键方面,以打击AMR.
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