Carvalho Érico, Estrela Marta, Zapata-Cachafeiro Maruxa, Figueiras Adolfo, Roque Fátima, Herdeiro Maria Teresa
iBiMED-Institute of Biomedicine, Department of Medical Sciences, University of Aveiro, 3800 Aveiro, Portugal.
Department of Preventive Medicine and Public Health, University of Santiago de Compostela, 15702 Santiago de Compostela, Spain.
Antibiotics (Basel). 2020 Aug 12;9(8):505. doi: 10.3390/antibiotics9080505.
(1) Background: e-Health tools, especially in the form of clinical decision support systems (CDSSs), have been emerging more quickly than ever before. The main objective of this systematic review is to assess the influence of these tools on antibiotic use for respiratory tract infections. (2) Methods: The scientific databases, MEDLINE-PubMed and EMBASE, were searched. The search was conducted by two independent researchers. The search strategy was mainly designed to identify relevant studies on the effectiveness of CDSSs in improving antibiotic use, as a primary outcome, and on the acceptability and usability of CDSSs, as a secondary outcome. (3) Results: After the selection, 22 articles were included. The outcomes were grouped either into antibiotics prescription practices or adherence to guidelines concerning antibiotics prescription. Overall, 15 out of the 22 studies had statistically significant outcomes related to the interventions. (4) Conclusions: Overall, the results show a positive impact on the prescription and conscientious use of antibiotics for respiratory tract infections, both with respect to patients and prescribing healthcare professionals. CDSSs have been shown to have great potential as powerful tools for improving both clinical care and patient outcomes.
(1) 背景：电子健康工具，尤其是临床决策支持系统（CDSS）的形式，比以往任何时候都出现得更快。本系统评价的主要目的是评估这些工具对呼吸道感染抗生素使用的影响。(2) 方法：检索了科学数据库MEDLINE-PubMed和EMBASE。检索由两名独立研究人员进行。检索策略主要旨在识别关于CDSS在改善抗生素使用有效性方面的相关研究作为主要结果，以及关于CDSS可接受性和可用性的相关研究作为次要结果。(3) 结果：筛选后，纳入了22篇文章。结果分为抗生素处方实践或关于抗生素处方的指南依从性。总体而言，22项研究中有15项与干预措施相关的结果具有统计学意义。(4) 结论：总体而言，结果表明对呼吸道感染患者和开处方的医疗保健专业人员在抗生素处方和合理使用方面都有积极影响。CDSS已被证明作为改善临床护理和患者结局的强大工具具有巨大潜力。
