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医疗卫生专业人员和公众的教育。

Education of healthcare professionals and the public.

机构信息

Health Protection Agency Primary Care Unit, Microbiology Department, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK.

出版信息

J Antimicrob Chemother. 2012 Jul;67 Suppl 1:i11-8. doi: 10.1093/jac/dks199.

DOI:10.1093/jac/dks199
PMID:22855873
Abstract

In the winter of 2007-08 a new public-facing antimicrobial campaign was agreed by the Advisory Committee on Antimicrobial Resistance and Healthcare-Associated Infection (ARHAI) Education sub-Group (later divided into subgroups for professional and public education): it comprised posters with a positive message on how the public could help themselves when they had a cold. However, the poster campaign, used in isolation in England, did not improve antibiotic use; therefore, the Public Education sub-Group took forward educational approaches to change the behaviour of the public and health professionals. Professionals have been encouraged to give patients clear information about the likely duration of symptoms, self-care, and benefits and harms of antibiotics, reinforcing the public poster campaigns in surgeries, hospitals and pharmacies. Since 2008, campaigns have been launched in England to coincide with European Antibiotic Awareness Day (EAAD) on 18 November, using Department of Health and EAAD materials. Professional education has been facilitated by the 2008 National Institute for Health and Clinical Excellence respiratory tract infection delayed prescribing guidance for general practitioners. A toolkit of materials for medicines management teams, to facilitate good antimicrobial stewardship in primary care (ASPIC), is being taken forward by the Public Education sub-Group and professional societies. After advice from ARHAI, in 2009 the General Medical Council requested that all postgraduate deans and Royal Colleges ensure infection prevention and control and antimicrobial prescribing become standard practice implemented in all clinical settings, and that they are emphasized strongly in undergraduate and postgraduate medical training. ARHAI has also taken a keen interest in reviewing, advising and leading on a number of European Union initiatives dealing with professional education.

摘要

在 2007-08 年冬季,抗微生物药物耐药性和卫生保健相关感染咨询委员会(ARHAI)教育小组(后来分为专业和公众教育小组)商定开展一项新的面向公众的抗微生物药物宣传活动:该活动包括带有正面信息的海报,内容是公众在感冒时如何自助。然而,在英格兰单独使用海报宣传活动并没有改善抗生素的使用情况;因此,公众教育小组提出了教育方法来改变公众和卫生专业人员的行为。鼓励专业人员向患者提供有关症状持续时间、自我护理以及抗生素的益处和危害的明确信息,在诊所、医院和药店强化公共海报宣传活动。自 2008 年以来,在英格兰开展了与 11 月 18 日欧洲抗菌药物认识日(EAAD)相吻合的活动,使用了卫生部和 EAAD 的材料。2008 年国家健康与临床优化研究所(NICE)呼吸道感染延迟处方指南为全科医生提供了专业教育便利。公众教育小组和专业协会正在推进一套用于药品管理团队的材料工具包,以促进初级保健中的良好抗菌药物管理(ASPIC)。根据 ARHAI 的建议,2009 年,英国医学总会要求所有研究生院长和皇家学院确保感染预防和控制以及抗菌药物处方成为所有临床环境中的标准实践,并在本科和研究生医学培训中大力强调这一点。ARHAI 还积极参与审查、提供建议和领导与专业教育相关的多项欧盟倡议。

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