青素过敏延迟指南的质量和一致性:系统性审查
Jessie He1, Marina Guirguis1, Sankare Devanandan1
1Pharmacy, School of Health and Clinical Sciences, The University of Western Australia, Perth, Australia.
概括
青素过敏取消标签指南 (PADLGs) 显示出显著的差异和低质量,具有关键的执行差距. 全球需要更一致,更强有力的指导方针,以改善患者护理,减少不适当的过敏标签.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 临床指南 临床指南
- 基于证据的医学基于证据的医学.
背景情况:
- 不适当的青素过敏标签会影响全球大量患者.
- 现有的青素过敏取消标签指南 (PADLGs) 差异很大.
- 为了评估这些指导方针,进行了系统审查.
研究的目的:
- 为了比较国际PADLG的范围,目的和建议.
- 使用AGREE II仪器评估PADLG的质量.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL) 和在线资源中进行系统搜索.
- 为医疗保健专业人员提供基于证据的指导方针,以消除青素过敏的标签.
- 排除面向患者的材料和医院协议.
主要成果:
- 来自12个国家的18个PADLG (2014-2024) 被确定,显示范围和建议的巨大差异.
- 大多数指导方针支持风险分层,测试和直接删除低风险患者的标签.
- 总体来说,指南的质量很低,只有两个符合高质量标准;在方法和利益相关者参与方面发现了重大差距.
结论:
- 需要更清晰,更一致,并且在方法上更强大的PADLG.
- 改进的指导方针对于安全和可扩展的青素过敏脱标是必不可少的.
- 解决指南缺陷可以帮助减少不准确的青素过敏标签的全球负担.
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