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[抗生素管理(ABS)——私人诊所和医院泌尿外科医生的策略]

[Antibiotic stewardship (ABS)-strategies for urologists in private practice and hospitals].

作者信息

Lichtinger U, Greifenberg V, Gessner A

机构信息

Pädagogische Hochschule Vorarlberg, Feldkirch, Österreich.

Institut für Klinische Mikrobiologie und Hygiene, Universitätsklinikum Regensburg, Franz-Josef-Strauss Allee 11, 93053, Regensburg, Deutschland.

出版信息

Urologe A. 2020 Dec;59(12):1472-1479. doi: 10.1007/s00120-020-01385-5.

Abstract

Antibiotics are effective and safe drugs which have saved millions of lives since their inception. The World Health organization (WHO) has identified increasing antibiotic resistance worldwide as one of the greatest health problems of our time. The most common indications for antibiotic therapy include urinary tract infections, but according to current data, a very high percentage of these are not treated in accordance with guidelines. To prevent the continuous selection of resistant bacteria, and undesirable or even dangerous side effects such as by avoiding damage to the patient's microbiome, strategies through antibiotic stewardship (ABS) are urgently needed. Especially for urologists in outpatient care, this requires new, innovative and sustainable training concepts that keep knowledge continuously up-to-date and support appropriate antibiotic prescriptions.

摘要

抗生素是有效且安全的药物,自问世以来已挽救了数百万人的生命。世界卫生组织(WHO)已将全球范围内日益增加的抗生素耐药性确定为我们这个时代最大的健康问题之一。抗生素治疗最常见的适应症包括尿路感染,但根据目前的数据,其中很大一部分并未按照指南进行治疗。为了防止持续选择耐药菌,并避免出现不良甚至危险的副作用,比如避免对患者微生物群造成损害,迫切需要通过抗生素管理(ABS)策略来解决。特别是对于门诊护理中的泌尿科医生而言,这需要全新、创新且可持续的培训理念,以不断更新知识并支持合理的抗生素处方。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eff/7721682/8ba27afefa45/120_2020_1385_Fig1_HTML.jpg

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