15 年来撒哈拉以南非洲地区传统医学从业者与生物医学从业者在抗微生物药物耐药性管理方面合作的证据：系统评价方案。

Evidence on collaboration of traditional and biomedical practitioners in the management of antimicrobial resistance in sub-Saharan Africa over 15 years: a systematic review protocol.

机构信息

Discipline of Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.

出版信息

Syst Rev. 2021 May 28;10(1):158. doi: 10.1186/s13643-021-01710-9.

DOI:10.1186/s13643-021-01710-9

PMID:34049588

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8161894/

Abstract

BACKGROUND

The overuse of prescribed antimicrobials, concurrent use of traditional medicine, and prescribed antimicrobials have led to antimicrobial resistance. The absence of collaboration between traditional health practitioners and biomedically trained healthcare professionals can contribute to antimicrobial resistance, treatment failure, overdose, toxicity, and misadministration. This scoping review explores the evidence on collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance and treatment failure in bacterial and viral diseases.

METHODS

We will search for electronic databases such as Science Direct, Google Scholar, PubMed, and MEDLINE via EBSCOhost. We will also search reference lists of included studies. A two-stage mapping procedure will be carried out. Stage one (1) will consist of the title, abstracts, and full article screening, respectively. A pilot screening form guided by the defined eligibility criteria will be used. In stage two (2), data will be extracted from the included studies. Two reviewers will conduct parallel screening and data extraction. Mixed methods appraisal tool (MMAT) will be used to assess the quality of the included studies. NVIVO version 11 will be employed to aid pertinent thematic analysis. The outcomes of interest will be as follows: Primary outcome will be preventing and reducing antimicrobial resistance. The secondary effect is the effective collaboration between traditional healthcare practitioners and biomedically healthcare professionals.

DISCUSSION

This review anticipates uncovering pertinent publications reporting the evidence of collaboration between traditional health practitioners and biomedically trained healthcare professionals to reduce antimicrobial resistance in sub-Saharan Africa. The sum-up of evidence acquired from the included studies will help guide future research. The result of the study will be print and electronically exposed.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO, CRD42017072952.

摘要

背景

过度使用处方抗菌药物、同时使用传统医学和处方抗菌药物导致了抗菌药物耐药性的产生。传统卫生从业者与生物医学训练的医疗保健专业人员之间缺乏合作，可能导致抗菌药物耐药性、治疗失败、用药过量、毒性和用药失误。本范围综述探讨了传统卫生从业者与生物医学训练的医疗保健专业人员之间合作减少细菌和病毒疾病中的抗菌药物耐药性和治疗失败的证据。

方法

我们将通过 EBSCOhost 在电子数据库（如 Science Direct、Google Scholar、PubMed 和 MEDLINE）中进行搜索。我们还将搜索纳入研究的参考文献列表。将进行两阶段映射程序。第一阶段（1）将分别包括标题、摘要和全文筛选。将使用由定义的纳入标准指导的试点筛选表格。在第二阶段（2）中，将从纳入的研究中提取数据。两名评审员将并行进行筛选和数据提取。将使用混合方法评估工具（MMAT）评估纳入研究的质量。将使用 NVIVO 版本 11 来辅助相关主题分析。感兴趣的结果如下：主要结果是预防和减少抗菌药物耐药性。次要效果是传统医疗从业者和生物医学医疗从业者之间的有效合作。