哮喘急性加重期的感染：不同执业群体的观点
Infection in exacerbations of asthma: views of different groups of practitioners.
作者信息
Connolly C K, Murthy N K, Prescott R J, Alcock R M
机构信息
Department of Community Medicine, Usher Institute, Medical School, Edinburgh, UK.
出版信息
Postgrad Med J. 1991 Oct;67(792):892-6. doi: 10.1136/pgmj.67.792.892.
A questionnaire designed to elucidate views on the frequency of infection in asthma and its management was circulated to general practitioners, general physicians, paediatricians and respiratory physicians in the north of England. On the whole, general practitioners agreed with the general physicians and paediatricians with respiratory physicians. The generalists, and to a lesser extent the specialists, tended to overestimate the risk of bacterial infection, which was perceived to be a particular risk following viral infection in intrinsic asthma. This resulted in more frequent prescription of antibiotics than is justified by the published evidence. There was a tendency for frequent prescribers of antibiotics to withhold corticosteroids. If prescribing habits are to be altered, education will have to be directed at those responsible for acute admissions to hospital as well as at general practitioners.
一份旨在阐明对哮喘感染频率及其管理看法的调查问卷，被分发给了英格兰北部的全科医生、普通内科医生、儿科医生和呼吸科医生。总体而言，全科医生与普通内科医生、儿科医生以及呼吸科医生的看法一致。通科医生，以及在较小程度上专科医生，往往高估了细菌感染的风险，在特发性哮喘中，这种风险被认为在病毒感染后尤为突出。这导致抗生素的处方频率高于已发表证据所证明的合理水平。频繁开具抗生素的医生往往会停用皮质类固醇。如果要改变处方习惯，教育必须针对那些负责急性住院治疗的人员以及全科医生。
Zotero 插件