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[AntibioticScout.ch:一种抗菌药物管理的决策支持工具:在伴侣动物医学中的应用]

[AntibioticScout.ch: A decision supporting tool for antimicrobial stewardship: application to companion animal medicine].

作者信息

Peter R, Demuth D, Müntener C, Lampart M, Heim D, Mevissen M, Schüpbach-Regula G, Schuller S, Stucki F, Willi B, Burkhardt W, Francey T, Nett C, Tschuor F, Naegeli H

机构信息

Institut für Veterinärpharmakologie und -toxikologie, Universität Zürich.

Klinik für Kleintiermedizin, Vetsuisse-Fakultät, Universität Zürich.

出版信息

Schweiz Arch Tierheilkd. 2017 Oct;159(10):525-533. doi: 10.17236/sat00129.

Abstract

Bacterial resistances to antimicrobial drugs pose serious public health challenges. The observed increase of resistances is attributed to the uncontrolled, massive and often unnecessary administration of antibiotics both in human and veterinary medicine. To support the responsible use of antimicrobials in animals and help veterinarians selecting the most suitable antimicrobial drugs, we developed the AntibioticScout.ch as a comprehensive decision supporting tool providing online access to the current knowledge of rational antibiotic prescription practices. User-friendly search functions allow for the fast and efficient retrieval of information that is structured in this database by animal species, organ systems and therapeutic indications. In addition, an online form allows to report treatment failures in order to identify problematic cases as well as ensuing risks and take appropriate mitigation measures. The present report describes the workflow of this decision support system applied to the prudent use of antimicrobials in companion animal medicine.

摘要

细菌对抗菌药物的耐药性给公共卫生带来了严峻挑战。观察到的耐药性增加归因于人类医学和兽医学中抗生素的无节制、大量且往往不必要的使用。为了支持在动物中合理使用抗菌药物,并帮助兽医选择最合适的抗菌药物,我们开发了AntibioticScout.ch,作为一个全面的决策支持工具,提供在线获取合理抗生素处方实践的当前知识。用户友好的搜索功能允许快速有效地检索按动物物种、器官系统和治疗适应症在此数据库中结构化的信息。此外,一个在线表格允许报告治疗失败情况,以便识别有问题的病例以及随之而来的风险并采取适当的缓解措施。本报告描述了该决策支持系统应用于伴侣动物医学中谨慎使用抗菌药物的工作流程。

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