Llor Carles, Moragas Ana, Cordoba Gloria
Centro de Salud Via Roma, Barcelona, España; Grupo de Trabajo de Enfermedades Infecciosas de la semFYC.
Universitat Rovira i Virgili. Centro de Salud Jaume I, Tarragona, España.
Aten Primaria. 2018 Nov;50 Suppl 2(Suppl 2):57-64. doi: 10.1016/j.aprim.2018.09.005. Epub 2018 Sep 27.
Overdiagnosis and overprescribing is common in current clinical practice of infectious diseases in primary care. On the basis of studies published in the medical literature we identify my means of a non-systematic review a total of 25 myths associated with the diagnosis and treatment and present the literature pertaining to each myth. These myths result in extraneous testing (overdiagnosis) and excessive antimicrobial treatment (overtreatment). Most of these myths are ingrained among general practitioners in our country. Not only should these myths be debunked from our clinical practice, but they should also be reversed, and we encourage our readers to critically appraise their practice when it comes down to the misconceptions treated in this manuscript. We attempt to give guidance to clinicians facing these frequent clinical scenarios.
在基层医疗中,传染病的当前临床实践中过度诊断和过度开药的现象很常见。基于医学文献中发表的研究,我们通过非系统综述的方式,共识别出25个与诊断和治疗相关的误区,并呈现了与每个误区相关的文献。这些误区导致了不必要的检查(过度诊断)和过度的抗菌治疗(过度治疗)。我国的全科医生中大多都根深蒂固地存在这些误区。这些误区不仅应从我们的临床实践中被揭穿,还应被扭转,并且我们鼓励读者在面对本手稿中所涉及的误解时,批判性地评估自己的实践。我们试图为面临这些常见临床情况的临床医生提供指导。