A framework for the non-antibiotic management of upper respiratory tract infections: towards a global change in antibiotic resistance
A framework for the non-antibiotic management of upper respiratory tract infections: towards a global change in antibiotic resistance
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DOI：
10.1111/ijcp.12335
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发表时间：
2013-11-01
影响因子：
2.6
通讯作者：
Pignatari, A. C.
中科院分区：
文献类型：
--
作者：
Essack, S.;Pignatari, A. C.
抗生素耐药性已成为全球范围内的一个关键健康问题，其中大部分问题是由于初级保健中抗生素的不当使用造成的。为了改变这种做法，全球呼吸道感染伙伴关系制定了一个五角形（五P）框架，用于上呼吸道感染（URTI）的非抗生素管理-这是初级保健中最常见的抗生素处方之一。该框架提出了关注URTI以促进初级保健中抗生素管理的基本原理，并阐述了要重点关注的五个关键领域，以实现变革：政策，预防，处方，药房和患者。最终目标是采用一种以患者为中心的症状管理战略，采用一种灵活的框架，可以在各国进行调整，以建立一种一致的全球方法来改变行为。
Antibiotic resistance has become a critical health issue on a global scale, with much of the problem resulting from inappropriate use of antibiotics in primary care. To change this practice, the global respiratory infection partnership has formulated a pentagonal (five P) framework for the non-antibiotic management of upper respiratory tract infections (URTIs) - one of the most common conditions in primary care for which antibiotics are prescribed. The framework presents the rationale for focusing on URTIs to promote antibiotic stewardship in primary care and elaborates on five key areas to focus on to bring about change: policy, prevention, prescribers, pharmacy and patients. The ultimate aim is to adopt a patient-centred symptomatic management strategy using a flexible framework that can be adapted across countries to create a consistent global approach to change behaviour.