Hannigan Norma S, Tolman Deanna R, Larson Elaine L
School of Nursing, Columbia University, New York, New York 10032, USA.
J Am Acad Nurse Pract. 2012 May;24(5):324-30. doi: 10.1111/j.1745-7599.2012.00696.x. Epub 2012 Mar 29.
The purpose of this article is to provide, in a concise format, information about evidence-based decision-making strategies and support tools available for appropriate antimicrobial prescribing. A brief review of the current status of antimicrobial resistance, prescribing practices of nurse practitioners (NPs), and factors associated with inappropriate prescribing practices is included to further explicate the need for such support tools.
Journal articles, Internet websites, reference texts.
Many microorganisms have developed resistance to previously standard treatments, and resistant strains continue to emerge. One factor associated with increasing resistance is inappropriate or overprescribing of antimicrobials sometimes related to lack of easy accessibility to clinical decision-making tools. Some practical evidence-based tools and decision-making strategies are presented here to foster making optimal antimicrobial choices in clinical practice.
Evidence-based decision-making strategies and tools can be used at the point of care to maximize appropriate antimicrobial prescribing by NPs.
本文旨在以简洁的形式提供有关循证决策策略以及适用于合理使用抗菌药物的支持工具的信息。本文还简要回顾了抗菌药物耐药性的现状、执业护士（NP）的处方行为以及与不合理处方行为相关的因素，以进一步阐明对此类支持工具的需求。
期刊文章、互联网网站、参考文献。
许多微生物已对先前的标准治疗产生耐药性，且耐药菌株不断出现。与耐药性增加相关的一个因素是抗菌药物的不合理使用或过度使用，这有时与难以获取临床决策工具有关。本文介绍了一些实用的循证工具和决策策略，以促进在临床实践中做出最佳的抗菌药物选择。
循证决策策略和工具可在护理点使用，以最大限度地提高执业护士合理使用抗菌药物的水平。
