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Sustainability of Interventions to Increase Guideline-Concordant Durations of Antibiotic Therapy for Children with Acute Otitis Media.提高儿童急性中耳炎抗生素治疗时间符合指南标准的干预措施的可持续性。
J Pediatr. 2023 Feb;253:292-296.e2. doi: 10.1016/j.jpeds.2022.09.004. Epub 2022 Sep 9.
2
Increasing Guideline-Concordant Durations of Antibiotic Therapy for Acute Otitis Media.增加急性中耳炎抗生素治疗的指南一致持续时间。
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Reducing antibiotic duration for acute otitis media: clinician, administrator, and parental insights to inform implementation of system-level interventions.缩短急性中耳炎的抗生素使用疗程：临床医生、管理人员及家长的见解，以指导系统层面干预措施的实施。
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Amoxicillin Versus Other Antibiotic Agents for the Treatment of Acute Otitis Media in Children.阿莫西林与其他抗生素药物治疗儿童急性中耳炎的疗效比较。
J Pediatr. 2022 Dec;251:98-104.e5. doi: 10.1016/j.jpeds.2022.07.053. Epub 2022 Aug 6.
2
Caregiver perspectives and preferences for acute otitis media management.照顾者对急性中耳炎治疗的观点和偏好。
Antimicrob Steward Healthc Epidemiol. 2021;1(1). doi: 10.1017/ash.2021.242. Epub 2021 Dec 22.
3
Short- vs Standard-Course Outpatient Antibiotic Therapy for Community-Acquired Pneumonia in Children: The SCOUT-CAP Randomized Clinical Trial.儿童社区获得性肺炎的短疗程与标准疗程门诊抗生素治疗：SCOUT-CAP 随机临床试验。
JAMA Pediatr. 2022 Mar 1;176(3):253-261. doi: 10.1001/jamapediatrics.2021.5547.
4
Increasing Guideline-Concordant Durations of Antibiotic Therapy for Acute Otitis Media.增加急性中耳炎抗生素治疗的指南一致持续时间。
J Pediatr. 2022 Jan;240:221-227.e9. doi: 10.1016/j.jpeds.2021.07.016. Epub 2021 Jul 15.
5
Improving Delayed Antibiotic Prescribing for Acute Otitis Media.改善急性中耳炎的延迟抗生素处方。
Pediatrics. 2021 Jun;147(6). doi: 10.1542/peds.2020-026062. Epub 2021 May 12.
6
Simplifying outpatient antibiotic stewardship.简化门诊抗生素管理
Infect Control Hosp Epidemiol. 2022 Feb;43(2):260-261. doi: 10.1017/ice.2020.1409. Epub 2021 Feb 1.
7
Antibiotic Prescribing Patterns for Acute Otitis Media for Children 2 Years and Older.儿童急性中耳炎 2 岁及以上患者的抗生素处方模式。
J Pediatr. 2020 May;220:109-115.e1. doi: 10.1016/j.jpeds.2020.01.045. Epub 2020 Feb 25.
8
Association of Broad- vs Narrow-Spectrum Antibiotics With Treatment Failure, Adverse Events, and Quality of Life in Children With Acute Respiratory Tract Infections.广谱与窄谱抗生素与急性呼吸道感染儿童治疗失败、不良事件及生活质量的关联
JAMA. 2017 Dec 19;318(23):2325-2336. doi: 10.1001/jama.2017.18715.
9
Core Elements of Outpatient Antibiotic Stewardship.门诊抗生素管理的核心要素。
MMWR Recomm Rep. 2016 Nov 11;65(6):1-12. doi: 10.15585/mmwr.rr6506a1.
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Antibiotic Exposure and Juvenile Idiopathic Arthritis: A Case-Control Study.抗生素暴露与青少年特发性关节炎：一项病例对照研究。
Pediatrics. 2015 Aug;136(2):e333-43. doi: 10.1542/peds.2015-0036. Epub 2015 Jul 20.

提高儿童急性中耳炎抗生素治疗时间符合指南标准的干预措施的可持续性。

Sustainability of Interventions to Increase Guideline-Concordant Durations of Antibiotic Therapy for Children with Acute Otitis Media.

机构信息

Department of Pediatrics, Denver Health and Hospital Authority, Denver, CO; Center for Health Systems Research, Denver Health and Hospital Authority, Denver, CO; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.

Center for Health Systems Research, Denver Health and Hospital Authority, Denver, CO.

出版信息

J Pediatr. 2023 Feb;253:292-296.e2. doi: 10.1016/j.jpeds.2022.09.004. Epub 2022 Sep 9.

DOI:10.1016/j.jpeds.2022.09.004
PMID:36088995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10231306/
Abstract

Two low-cost pragmatic interventions (change in the options in the electronic health record; change in the electronic health record plus education plus feedback comparing prescribing with peers) to improve prescribing of guideline-concordant short antibiotic durations for children 2 years and older with uncomplicated acute otitis media were highly effective and results were sustained 18 months after discontinuation of the active components of the interventions.

摘要

两种低成本实用干预措施（改变电子健康记录中的选项；改变电子健康记录加教育加反馈，比较与同行的处方）可有效改善儿童 2 岁及以上单纯性急性中耳炎指南一致的短疗程抗生素处方，干预措施的活性成分停止使用 18 个月后，效果仍持续。