Initiatives to improve appropriate antibiotic prescribing in primary care
Initiatives to improve appropriate antibiotic prescribing in primary care
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DOI：
10.1093/jac/dkt360
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发表时间：
2013-11-01
影响因子：
5.2
通讯作者：
Harris, Diane J.
中科院分区：
文献类型：
--
作者：
Harris, Diane J.
影响临床医生的处方行为很重要，因为抗生素的不适当使用和过度使用是抗生素耐药性的主要驱动因素。一个系统的审查干预措施，以促进谨慎处方抗生素的全科医生表明，多方面的干预措施将最大限度地提高可接受性。本文报道了如何这种类型的方法已成功地使用在德比郡，英国在过去的4年。所采用的干预措施包括教育会议（包括公开小组活动和其他针对外科中高级处方者的活动）使用支持性和指导性的精神;提供支持材料，旨在酌情使患者能够避免或延迟抗生素处方，并提高患者对自我管理的认识和信心;以及制定不同的治疗指南，将关键信息与证据结合起来，指出抗生素不太可能有益的地方。在学校进行抗生素教育是一种新颖的方法，它是在北德比郡开发的，旨在提高公众对不使用抗生素就能适当治疗常见疾病的认识。
Influencing clinicians' prescribing behaviour is important because inappropriate use and overuse of antibiotics are major drivers of antibiotic resistance. A systematic review of interventions for promoting prudent prescribing of antibiotics by general practitioners suggests that multifaceted interventions will maximize acceptability. This article reports how this type of approach has been used successfully in Derbyshire, UK over the last 4 years. The range of interventions that have been used includes educational meetings (both open group events and others targeted at higher prescribers in the surgery) using a supportive and guiding ethos; the provision of support materials aimed at empowering avoidance or delayed antibiotic prescribing, where appropriate, and improving patients' knowledge and confidence in self-management; and the production of different treatment guidelines incorporating key messages with evidence, indicating where antibiotics are unlikely to be of benefit. Education on antibiotics in schools was a novel approach, which was developed in North Derbyshire to increase public awareness of the appropriate treatment for common illnesses without using antibiotics.