在初级保健中急性鼻窦炎抗生素处方的适宜性：一项横断面研究。
Appropriateness of Antibiotic Prescribing for Acute Sinusitis in Primary Care: A Cross-sectional Study.
机构信息
Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
出版信息
Clin Infect Dis. 2021 Jan 27;72(2):311-314. doi: 10.1093/cid/ciaa736.
Abstract
The proportion of sinusitis visits that meet antibiotic prescribing criteria is unknown. Of 425 randomly selected sinusitis visits, 50% (214) met antibiotic prescribing criteria. There was no significant difference in antibiotic prescribing at visits that did (205/214 [96%]) and did not (193/211 [92%]; P = .07) meet antibiotic prescribing criteria.
摘要
尚不清楚符合抗生素处方标准的鼻窦炎就诊比例。在随机抽取的 425 例鼻窦炎就诊中，有 50%（214 例）符合抗生素处方标准。符合（214/214 [96%]）和不符合（211/211 [92%]；P=0.07）抗生素处方标准的就诊中，抗生素的使用情况没有显著差异。
相似文献
1
Appropriateness of Antibiotic Prescribing for Acute Sinusitis in Primary Care: A Cross-sectional Study.在初级保健中急性鼻窦炎抗生素处方的适宜性：一项横断面研究。
Clin Infect Dis. 2021 Jan 27;72(2):311-314. doi: 10.1093/cid/ciaa736.
2
Appropriateness of antibiotic prescribing for upper respiratory tract infections in general practice: Comparison between Denmark and Iceland.全科医疗中治疗上呼吸道感染的抗生素处方适宜性：丹麦与冰岛的比较。
Scand J Prim Health Care. 2015;33(4):269-74. doi: 10.3109/02813432.2015.1114349.
3
Behavioral interventions to reduce inappropriate antibiotic prescribing: a randomized pilot trial.减少不适当抗生素处方的行为干预措施：一项随机试点试验。
BMC Infect Dis. 2016 Aug 5;16:373. doi: 10.1186/s12879-016-1715-8.
4
Antibiotic choice in UK general practice: rates and drivers of potentially inappropriate antibiotic prescribing.英国普通实践中的抗生素选择：潜在不适当抗生素处方的比率和驱动因素。
J Antimicrob Chemother. 2019 Nov 1;74(11):3371-3378. doi: 10.1093/jac/dkz345.
5
Empathy, burnout, and antibiotic prescribing for acute respiratory infections: a cross-sectional primary care study in the US.同理心、职业倦怠与急性呼吸道感染的抗生素处方：美国一项横断面初级保健研究
Br J Gen Pract. 2017 Aug;67(661):e565-e571. doi: 10.3399/bjgp17X691901. Epub 2017 Jul 17.
6
Variability in Antibiotic Prescribing for Upper Respiratory Illnesses by Provider Specialty.不同专业医生对上呼吸道疾病抗生素处方的差异。
J Pediatr. 2018 Dec;203:76-85.e8. doi: 10.1016/j.jpeds.2018.07.044. Epub 2018 Sep 5.
7
Necessity of office visits for acute respiratory infections in primary care.基层医疗中急性呼吸道感染门诊就诊的必要性。
Fam Pract. 2016 Jun;33(3):312-7. doi: 10.1093/fampra/cmw019. Epub 2016 Apr 5.
8
Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Practices: A Randomized Clinical Trial.行为干预对基层医疗实践中不适当抗生素处方的影响：一项随机临床试验。
JAMA. 2016 Feb 9;315(6):562-70. doi: 10.1001/jama.2016.0275.
9
Baseline Inappropriate Antibiotic Use in Primary Care Patients with Viral Respiratory Tract Infections with 2019 and 2020.2019 年和 2020 年病毒性呼吸道感染患者中基层医疗中不合理使用抗生素的基线情况。
Ann Fam Med. 2023 Jan 1;21(21 Suppl 1):3678. doi: 10.1370/afm.21.s1.3678.
10
Outpatient Antibiotic Prescribing for Acute Respiratory Infections During Influenza Seasons.流感季节急性呼吸道感染的门诊抗生素处方
JAMA Netw Open. 2018 Jun 1;1(2):e180243. doi: 10.1001/jamanetworkopen.2018.0243.
引用本文的文献
1
Rhinosinusitis: Evidence and experience - 2024.鼻窦炎：证据与经验 - 2024年
Braz J Otorhinolaryngol. 2025 May 19;91(5):101595. doi: 10.1016/j.bjorl.2025.101595.
2
Patients' perspectives regarding antibiotic treatment for acute sinusitis in Norwegian general practice. A qualitative interview study.挪威全科医疗中患者对急性鼻窦炎抗生素治疗的看法。一项定性访谈研究。
Scand J Prim Health Care. 2025 Sep;43(3):693-701. doi: 10.1080/02813432.2025.2498510. Epub 2025 May 7.
3
No "One-Size-Fits All": chronic "Carryover" diagnoses dilute antibiotic prescribing rates for sinusitis among adults in primary and urgent care settings.不存在“一刀切”的情况：慢性“遗留”诊断会稀释基层医疗和紧急护理机构中成人鼻窦炎的抗生素处方率。
Infect Control Hosp Epidemiol. 2024 Dec 27;46(2):1-3. doi: 10.1017/ice.2024.200.
4
Opportunities to Improve Antibiotic Prescribing for Adults With Acute Sinusitis, United States, 2016-2020.2016 - 2020年美国改善成人急性鼻窦炎抗生素处方的机会
Open Forum Infect Dis. 2024 Jul 23;11(8):ofae420. doi: 10.1093/ofid/ofae420. eCollection 2024 Aug.
5
Impact evaluation of guidelines on antibiotic utilisation & appropriateness in Malaysian public primary care: an interrupted time series analysis.马来西亚公立基层医疗中抗生素使用与合理性指南的影响评估：一项中断时间序列分析
J Pharm Policy Pract. 2024 Jun 5;17(1):2355666. doi: 10.1080/20523211.2024.2355666. eCollection 2024.
6
Barosinusitis due to routine weather changes: A cross-sectional analysis of public websites.常规天气变化导致的气压性鼻窦炎：公共网站的横断面分析
World J Otorhinolaryngol Head Neck Surg. 2023 Jun 19;10(1):18-23. doi: 10.1002/wjo2.106. eCollection 2024 Mar.
7
Assessing the Appropriateness of Antimicrobial Prescribing in the Community Setting: A Scoping Review.评估社区环境中抗菌药物处方的适宜性：一项范围综述
Open Forum Infect Dis. 2024 Mar 22;11(3):ofad670. doi: 10.1093/ofid/ofad670. eCollection 2024 Mar.
8
Acute Respiratory Infection Incidence and Outpatient Antibiotic Prescription Patterns in People With or Without Human Immunodeficiency Virus Infection: A Virtual Cohort Study.人类免疫缺陷病毒感染或未感染人群的急性呼吸道感染发病率及门诊抗生素处方模式：一项虚拟队列研究
Open Forum Infect Dis. 2023 May 19;10(7):ofad272. doi: 10.1093/ofid/ofad272. eCollection 2023 Jul.
9
Assessing the appropriateness of community-based antibiotic prescribing in Alberta, Canada, 2017-2020, using ICD-9-CM codes: a cross-sectional study.评估 2017-2020 年加拿大艾伯塔省基于社区的抗生素处方的适宜性，使用 ICD-9-CM 代码：一项横断面研究。
CMAJ Open. 2023 Jul 4;11(4):E579-E586. doi: 10.9778/cmajo.20220114. Print 2023 Jul-Aug.
10
Prevalence of Antibiotic Prescription in Patients with Acute Rhinosinusitis Treated by General Practitioners and Otolaryngologists in Germany-A Retrospective Cohort Study.德国全科医生和耳鼻喉科医生治疗的急性鼻窦炎患者抗生素处方的患病率——一项回顾性队列研究
Antibiotics (Basel). 2022 Nov 9;11(11):1576. doi: 10.3390/antibiotics11111576.
本文引用的文献
1
Sustained Reductions in Overall and Unnecessary Antibiotic Prescribing at Primary Care Clinics in a Veterans Affairs Healthcare System Following a Multifaceted Stewardship Intervention.在退伍军人事务医疗保健系统中，经过多方面的管理干预，初级保健诊所的总体和不必要的抗生素处方持续减少。
Clin Infect Dis. 2020 Nov 5;71(8):e316-e322. doi: 10.1093/cid/ciz1180.
2
The inconvincible patient: how clinicians perceive demand for antibiotics in the outpatient setting.无法说服的患者：临床医生如何看待门诊中对抗生素的需求。
Fam Pract. 2020 Mar 25;37(2):276-282. doi: 10.1093/fampra/cmz066.
3
Comparison of Diagnosis and Prescribing Practices Between Virtual Visits and Office Visits for Adults Diagnosed With Sinusitis Within a Primary Care Network.初级保健网络中成人鼻窦炎虚拟就诊与门诊就诊的诊断及处方实践比较
Open Forum Infect Dis. 2019 Oct 5;6(9):ofz393. doi: 10.1093/ofid/ofz393. eCollection 2019 Sep.
4
Novel approaches to decrease inappropriate ambulatory antibiotic use.减少不适当的门诊抗生素使用的新方法。
Expert Rev Anti Infect Ther. 2019 Jul;17(7):511-521. doi: 10.1080/14787210.2019.1635455. Epub 2019 Jul 5.
5
Coding Bias in Respiratory Tract Infections May Obscure Inappropriate Antibiotic Use.呼吸道感染的编码偏倚可能掩盖不适当的抗生素使用情况。
J Gen Intern Med. 2019 Jun;34(6):806-808. doi: 10.1007/s11606-018-4823-x.
6
Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.美国私人保险患者门诊抗生素处方适宜性：基于 ICD-10-CM 的横断面研究。
BMJ. 2019 Jan 16;364:k5092. doi: 10.1136/bmj.k5092.
7
Systematic Review of Factors Associated with Antibiotic Prescribing for Respiratory Tract Infections.呼吸道感染抗生素处方相关因素的系统评价
Antimicrob Agents Chemother. 2016 Jun 20;60(7):4106-18. doi: 10.1128/AAC.00209-16. Print 2016 Jul.
8
Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011.2010-2011 年美国门诊就诊中不适当抗生素处方的流行率。
JAMA. 2016 May 3;315(17):1864-73. doi: 10.1001/jama.2016.4151.
9
Clinical practice guideline (update): adult sinusitis.临床实践指南（更新版）：成人鼻窦炎
Otolaryngol Head Neck Surg. 2015 Apr;152(2 Suppl):S1-S39. doi: 10.1177/0194599815572097.
10
Societal and physician perspectives on sinonasal diagnosis and treatment.社会及医生对鼻窦诊断与治疗的看法。
Am J Rhinol Allergy. 2014 Nov-Dec;28(6):487-92. doi: 10.2500/ajra.2014.28.4101.
Zotero 插件