Core Elements of Outpatient Antibiotic Stewardship
Core Elements of Outpatient Antibiotic Stewardship
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DOI：
10.15585/mmwr.rr6506a1
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发表时间：
2016-11-11
影响因子：
33.7
通讯作者：
Hicks, Lauri A.
中科院分区：
文献类型：
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作者：
Sanchez, Guillermo V.;Fleming-Dutra, Katherine E.;Hicks, Lauri A.
门诊抗生素管理的核心要素为门诊临床医生和常规提供抗生素治疗的设施提供了抗生素管理框架。本报告补充了其他临床环境的现有指南。2014年和2015年，CDC分别发布了《医院抗生素管理核心要素》和《养老院抗生素管理核心要素》。抗生素管理是衡量和改进临床医生如何开抗生素处方和患者如何使用抗生素的努力。改进抗生素处方涉及实施有效战略，修改处方做法，使其与基于证据的诊断和管理建议保持一致。门诊抗生素管理的四个核心要素是承诺、政策和实践行动、跟踪和报告以及教育和专业知识。门诊医生和机构领导可以致力于改善抗生素处方，并通过实施至少一项旨在改善抗生素处方实践的政策或实践来采取行动。临床医生和门诊诊所和卫生保健系统的负责人可以跟踪抗生素处方做法，并定期向临床医生报告这些数据。临床医生可以为患者和家属提供适当使用抗生素的教育资源。最后，门诊诊所和卫生系统的负责人可以向临床医生提供旨在改进抗生素处方的教育，并让他们有机会接触到具有抗生素管理专业知识的人员。建立有效的抗生素管理干预措施可以保护患者，改善门诊医疗机构的临床结果。
The Core Elements of Outpatient Antibiotic Stewardship provides a framework for antibiotic stewardship for outpatient clinicians and facilities that routinely provide antibiotic treatment. This report augments existing guidance for other clinical settings. In 2014 and 2015, respectively, CDC released the Core Elements of Hospital Antibiotic Stewardship Programs and the Core Elements of Antibiotic Stewardship for Nursing Homes. Antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients. Improving antibiotic prescribing involves implementing effective strategies to modify prescribing practices to align them with evidence-based recommendations for diagnosis and management. The four core elements of outpatient antibiotic stewardship are commitment, action for policy and practice, tracking and reporting, and education and expertise. Outpatient clinicians and facility leaders can commit to improving antibiotic prescribing and take action by implementing at least one policy or practice aimed at improving antibiotic prescribing practices. Clinicians and leaders of outpatient clinics and health care systems can track antibiotic prescribing practices and regularly report these data back to clinicians. Clinicians can provide educational resources to patients and families on appropriate antibiotic use. Finally, leaders of outpatient clinics and health systems can provide clinicians with education aimed at improving antibiotic prescribing and with access to persons with expertise in antibiotic stewardship. Establishing effective antibiotic stewardship interventions can protect patients and improve clinical outcomes in outpatient health care settings.