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本文引用的文献

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Comments by Microbiologists for Interpreting Antimicrobial Susceptibility Testing and Improving the Appropriateness of Antibiotic Therapy in Community-Acquired Urinary Tract Infections: A Randomized Double-Blind Digital Case-Vignette Controlled Superiority Trial.微生物学家关于解读社区获得性尿路感染抗菌药物敏感性试验及提高抗生素治疗合理性的评论：一项随机双盲数字病例对照优势试验
Antibiotics (Basel). 2023 Aug 2;12(8):1272. doi: 10.3390/antibiotics12081272.
2
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.
3
Analysis of recurrent urinary tract infection management in women seen in outpatient settings reveals opportunities for antibiotic stewardship interventions.对门诊就诊女性复发性尿路感染管理情况的分析揭示了抗生素管理干预的机会。
Antimicrob Steward Healthc Epidemiol. 2022 Jan 17;2(1):e8. doi: 10.1017/ash.2021.224. eCollection 2022.
4
Analysis of an Antibiotic Stewardship Program for Asymptomatic Bacteriuria in the Veterans Affairs Health Care System.退伍军人事务部医疗保健系统无症状菌尿抗生素管理计划分析。
JAMA Netw Open. 2022 Jul 1;5(7):e2222530. doi: 10.1001/jamanetworkopen.2022.22530.
5
Antimicrobial stewardship intervention bundle decreases outpatient fluoroquinolone prescribing for urinary tract infections.抗菌药物管理干预措施组合可减少门诊尿路感染患者氟喹诺酮类药物的处方量。
Infect Control Hosp Epidemiol. 2023 Mar;44(3):488-490. doi: 10.1017/ice.2021.520. Epub 2022 Apr 11.
6
Impact of Education and Data Feedback on Guideline-Concordant Prescribing for Urinary Tract Infections in the Outpatient Setting.教育与数据反馈对门诊尿路感染指南一致性处方的影响
Open Forum Infect Dis. 2021 Apr 28;9(3):ofab214. doi: 10.1093/ofid/ofab214. eCollection 2022 Mar.
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A pragmatic randomized trial of a primary care antimicrobial stewardship intervention in Ontario, Canada.一项在加拿大安大略省进行的初级保健抗菌药物管理干预措施的实用随机试验。
BMC Fam Pract. 2021 Sep 15;22(1):185. doi: 10.1186/s12875-021-01536-3.
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Case-based audit and feedback around a decision aid improved antibiotic choice and duration for uncomplicated cystitis in primary care clinics.基于病例的审核和反馈围绕决策辅助工具改善了初级保健诊所中单纯性膀胱炎的抗生素选择和疗程。
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Current prescribing practices and guideline concordance for the treatment of uncomplicated urinary tract infections in women.当前治疗女性单纯性尿路感染的处方实践和指南一致性。
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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。