Antibiotic stewardship programmes had a low impact on prescribing for acute respiratory tract infections in children.
Antibiotic stewardship programmes had a low impact on prescribing for acute respiratory tract infections in children.
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DOI：
10.1111/apa.16381
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发表时间：
2022-08
期刊：
影响因子：
--
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中科院分区：
文献类型：
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这篇小型综述总结了儿科门诊急性呼吸道感染 (ARTI) 抗生素管理计划 (ASP) 的现有数据，特别是计划的实施和影响。检索了 2012 年 1 月 1 日至 2021 年 12 月 31 日期间 PubMed 中包含使用呼吸道感染、抗生素、儿童和指南等术语的论文。然后我们看到其中有多少包括影响、实施或管理等单独术语。排除后，我们纳入了 10 篇以英文发表的关于接受 ARTI 门诊治疗的儿童的论文。所有这些都包括有关实施 ASP 和评估 ASP 影响的数据。初级保健数据主要来自美国。 ASP 计划并未影响抗生素处方率，但广谱抗生素减少了 43-48%。急诊科数据主要来自法国，抗生素处方率下降了31-35%，广谱抗生素处方率下降了63-71%。法国的一项全国性登记研究证实了这些结果。 ASP 对总体抗生素处方率影响较小，对广谱抗生素处方影响不大。 ASP 协议的实施需要进一步发展，并且需要对遵守 ASP 的障碍进行更多研究。
This mini review summarises the available data on antibiotic stewardship programmes (ASP) for acute respiratory tract infections (ARTI) in paediatric outpatients, particularly the implementation and impact of programmes. PubMed was searched from 1 January 2012 to 31 December 2021 for papers with abstracts that used the terms respiratory tract infection, antibiotic, child and guideline. We then saw how many of these included the individual terms impact, implementation or stewardship. After exclusions, we included 10 papers that were published in English on children treated as outpatients for ARTIs. All of these included data on implementing and assessing the impact of ASPs. The primary care data were mainly from the United States. The ASP programmes did not influence antibiotic prescription rates, but broad‐spectrum antibiotics decreased by 43–48%. The emergency department data were mainly from France and the antibiotic prescription rate decreased by 31–35% and the rate for broad‐spectrum antibiotics by 63–71%. A nationwide register‐based study from France confirmed these results. ASPs had a low impact on overall antibiotic prescription rates and a modest impact on prescribing broad‐spectrum antibiotics. The implementation of ASP protocols needs further development, and more research is necessary on barriers to complying with ASPs.
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影响因子：
120.7
作者：
Gerber, Jeffrey S.;Prasad, Priya A.;Zaoutis, Theoklis E.
通讯作者：
Zaoutis, Theoklis E.
DOI：
10.1007/s10096-011-1442-4
发表时间：
2012-07-01
影响因子：
4.5
作者：
Angoulvant, F.;Skurnik, D.;Alberti, C.
通讯作者：
Alberti, C.
影响因子：
3.7
作者：
Angoulvant, Francois;Rouault, Anne;Bourdon, Olivier
通讯作者：
Bourdon, Olivier
影响因子：
1.6
作者：
Aoybamroong, Nalinee;Kantamalee, Worawit;Apiwattanakul, Nopporn
通讯作者：
Apiwattanakul, Nopporn
DOI：
10.5402/2012/685302
发表时间：
2012-01-01
期刊：
ISRN pediatrics
影响因子：
--
作者：
Panagakou, Sotiria G;Papaevangelou, Vassiliki;Hadjichristodoulou, Christos S
通讯作者：
Hadjichristodoulou, Christos S