How to educate prescribers in antimicrobial stewardship practices
How to educate prescribers in antimicrobial stewardship practices
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DOI：
10.4161/viru.23706
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发表时间：
2013-02-15
期刊：
影响因子：
5.2
通讯作者：
Gyssens, Inge C.
中科院分区：
文献类型：
--
作者：
Pulcini, Celine;Gyssens, Inge C.
抗菌药物的广泛使用损害了其价值，导致抗菌药物耐药性危机。滥用的一个主要原因是许多类别的专业人员对抗生素处方的知识不足。抗菌药物管理的一个重要原则是通过避免不必要的使用、选择最少的广谱抗生素、足够的剂量、良好的时机和尽可能短的持续时间来避免患者对病原体和抗生素的选择压力。到目前为止，大多数教育工作的对象是经过培训的专业人员（主要是医生）和成年公众。在过去几年中，在教育儿童方面取得了进展。现在至关重要的是，学术界和卫生部和教育部共同关注一个经过调整的本科医学/专业课程，教授微生物学、传染病和临床药理学的所有必要原则，并强调谨慎处方的原则。
Widespread antimicrobial use has compromised its value, leading to a crisis of antimicrobial resistance. A major cause of misuse is insufficient knowledge of prescribing of antimicrobials in many categories of professionals. An important principle of antimicrobial stewardship is avoiding selection pressure in the patient, both on pathogen and commensal by avoiding unnecessary use, choosing the least broad-spectrum antibiotic, adequate doses, a good timing and the shortest possible duration. Up to now, most educational efforts have been targeted at professionals (mostly medical doctors) after their training and at the adult public. In the past few years, progress has been made in educating children. It is now crucial that academia and ministries of Health and Education jointly focus on an adapted undergraduate medical/professional curriculum that teaches all necessary principles of microbiology, infectious diseases and clinical pharmacology, with emphasis on the principles of prudent prescribing.