关键词: antimicrobial resistance antimicrobial stewardship appropriateness community setting quality of antimicrobial prescribing

来  源:   DOI:10.1093/ofid/ofad670   PDF(Pubmed)

Abstract:
UNASSIGNED: This scoping review examined the concept and scope of appropriateness of antimicrobial prescribing in the community setting and how it has been measured.
UNASSIGNED: Utilizing the Joanna Briggs Institute\'s methodology, we appraised peer-reviewed articles and unpublished studies, focusing on the US, UK, Canada, and Australia, with no limit to date.
UNASSIGNED: Four basic components of antimicrobial prescribing to be evaluated during assessment of antimicrobial appropriateness in the community setting were identified: diagnosis for infection or indication for antimicrobial therapy, choice of antimicrobial therapy, dosing, and duration of therapy. The benchmark for definition of appropriateness is crucial in assessing antimicrobial prescribing appropriateness. The use of recommended guidelines as a benchmark is the standard for appropriate antimicrobial therapy, and when necessary, susceptibility testing should be explored.
UNASSIGNED: Studies evaluating the appropriateness of antimicrobial prescribing should assess these components of antimicrobial prescribing, and this should be clearly stated in the aim and objectives of the study.
摘要:
本范围审查审查了社区环境中抗菌药物处方适当性的概念和范围,以及如何对其进行测量。
利用乔安娜·布里格斯研究所的方法,我们评估了同行评审的文章和未发表的研究,专注于美国,英国,加拿大,澳大利亚,没有限制日期。
确定了在社区环境中评估抗菌药物适用性期间要评估的抗菌药物处方的四个基本组成部分:感染诊断或抗菌治疗指征,抗菌治疗的选择,给药,和治疗的持续时间。适当性定义的基准对于评估抗菌药物处方的适当性至关重要。使用推荐的指南作为基准是适当的抗菌治疗的标准,必要时,应该探索敏感性测试。
评估抗菌药物处方适当性的研究应评估抗菌药物处方的这些组成部分,这应该在研究的目的和目标中明确规定。
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