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对患有中耳炎和耳鼻炎的儿科患者处方和发放延迟抗生素
Shobhitha Balasubramaniam1, Melanie MacInnis2, Katrina Hurley3
1, HBSc, PharmD, was, at the time this study was conducted, a student in the Doctor of Pharmacy program at Dalhousie University, Halifax, Nova Scotia. She has now graduated.
The Canadian journal of hospital pharmacy
|March 5, 2026
概括
对于儿科急性中耳炎和喉炎的延迟抗生素处方通常是早期填写的. 然而,大多数护理人员都遵守了指导,这表明这种策略可以减少过度使用抗生素.
科学领域:
- 儿科急救医学 儿科急救医学
- 传染病管理 传染病管理
- 药物经济学 药物经济学
背景情况:
- 过度使用抗生素有助于抗菌素耐药性.
- 延迟抗生素处方是一种减少急性中耳炎 (AOM) 和喉炎抗生素使用的策略.
- 了解延迟处方的遵守对于评估这一策略至关重要.
研究的目的:
- 分析儿童急诊室 (PED) 对AOM和喉炎的抗生素处方模式.
- 为了确定社区药房过早发放延迟抗生素处方的速度.
- 评估护理人员是否遵守延迟抗生素处方指南.
主要方法:
- 追溯图表审查和与省级行政数据的分发处方的链接.
- 包括被诊断患有AOM或喉炎的儿科患者,并通过抗生素处方出院.
- 对处方发行时间表和遵守情况的描述性分析.
主要成果:
- 超过一半的AOM或喉炎患者接受了抗生素处方 (53.3%).
- 在21.2%的遭遇中,延迟的处方被发行.
- 不到一半 (40.4%) 的推迟处方在7天内发放;30.1%在48小时内填充,16.9%的处方比建议提前发放.
结论:
- 护理人员在很大程度上遵守了处方指南,以延迟抗生素处方.
- 推迟处方策略显示了减少不必要的抗生素消费的潜力.
- 进一步的研究可能会探索影响早发药物的因素,并优化守.
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