Verheij Th J M, van der Velden Alike W, van der Lubben M
UMC Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, Utrecht.
Contact: Th.J.M. Verheij (
Ned Tijdschr Geneeskd. 2017 Dec 20;162:D2377.
Is non-compliance to guidelines regarding antimicrobial treatment in primary care a problem? On the one hand, individual variation in clinical problems warrants deviation from guidelines in some patients. But on the other hand, restrictive use of antibiotics is certainly necessary in primary care. Undertreatment of infectious diseases is not a major risk in primary care, but overtreatment is. Currently, steps are undertaken in the Netherlands to enhance antibiotic stewardship.
在初级医疗保健中，不遵守抗菌治疗指南是个问题吗？一方面，临床问题的个体差异使得一些患者有必要偏离指南。但另一方面，在初级医疗保健中严格限制抗生素的使用无疑是必要的。在初级医疗保健中，传染病治疗不足并非主要风险，但过度治疗却是。目前，荷兰正在采取措施加强抗生素管理。
