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门诊环境下尿路感染的抗生素管理干预措施：叙事性综述。

Antibiotic Stewardship Interventions for Urinary Tract Infections in Outpatient Settings: A Narrative Review.

机构信息

Department of Family and Community Medicine, Baylor College of Medicine, 3701 Kirby Drive, Suite 600, Houston TX 77098, USA; Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.

Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA; Section of Health Services Research, Department of Medicine, Baylor College of Medicine, IQuESt (152), 2002 Holcombe Boulevard, Houston, TX 77030, USA.

出版信息

Infect Dis Clin North Am. 2024 Jun;38(2):277-294. doi: 10.1016/j.idc.2024.03.006. Epub 2024 Apr 4.

DOI:10.1016/j.idc.2024.03.006
PMID:38575491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11931633/
Abstract

Inappropriate antibiotic choice or duration of therapy for urinary tract infections (UTIs) in outpatients is common and is a major contributor to antibiotic overuse. Most studies on outpatient antibiotic stewardship for UTIs follow a pre-design or post-design with a multifaceted intervention; these trials generally have found improvement in appropriateness of antibiotic use for UTI. Audit and feedback was one of the most commonly employed strategies across these trials but may not be sustainable. Future research on antibiotic stewardship for UTIs in outpatients should measure both effectiveness and implementation success.

摘要

门诊患者尿路感染（UTI）中抗生素选择不当或疗程过长的情况较为常见，这也是抗生素过度使用的主要原因之一。大多数门诊 UTI 抗生素管理研究都采用预先设计或事后设计，并采取多方面的干预措施；这些试验通常发现 UTI 抗生素使用的适宜性有所改善。审核和反馈是这些试验中最常用的策略之一，但可能无法持续。未来针对门诊患者 UTI 的抗生素管理研究应同时衡量有效性和实施成功。

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Antibiotic Prescribing in Outpatient Settings: Rural Patients Are More Likely to Receive Fluoroquinolones and Longer Antibiotic Courses.门诊环境中的抗生素处方：农村患者更有可能接受氟喹诺酮类药物治疗且抗生素疗程更长。
Antibiotics (Basel). 2023 Jan 20;12(2):224. doi: 10.3390/antibiotics12020224.
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