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实现高质量抗菌药物管理研究的五个步骤。

Five steps to high quality antimicrobial stewardship research.

作者信息

Langford Bradley J, Bailey Pamela, Livorsi Daniel J, Brown Kevin A, Advani Sonali D, Dodds Ashley Elizabeth, Bearman Gonzalo, Nori Priya

机构信息

Public Health Ontario, Toronto, Ontario, Canada.

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 May 9;4(1):e82. doi: 10.1017/ash.2024.73. eCollection 2024.

Abstract

The escalating threat of antimicrobial resistance (AMR) necessitates impactful, reproducible, and scalable antimicrobial stewardship strategies. This review addresses the critical need to enhance the quality of antimicrobial stewardship intervention research. We propose five considerations for authors planning and evaluating antimicrobial stewardship initiatives. Antimicrobial stewards should consider the following mnemonic ABCDE: (A) plan head using implementation science; (B) e clear and thoroughly describe the intervention by using the TidIER checklist; (C) Use a hecklist to comprehensively report study components; (D) Select a study esign carefully; and (E) Assess ffectiveness and implementation by selecting meaningful outcomes. Incorporating these recommendations will help strengthen the evidence base of antimicrobial stewardship literature and support optimal implementation of strategies to mitigate AMR.

摘要

抗菌药物耐药性(AMR)威胁的不断升级,需要有影响力、可重复且可扩展的抗菌药物管理策略。本综述阐述了提高抗菌药物管理干预研究质量的迫切需求。我们为计划和评估抗菌药物管理举措的作者提出了五点考虑。抗菌药物管理者应考虑以下记忆口诀ABCDE:(A)运用实施科学进行前瞻性规划;(B)使用TidIER清单清晰、全面地描述干预措施;(C)使用清单全面报告研究组成部分;(D)谨慎选择研究设计;(E)通过选择有意义的结果评估有效性和实施情况。纳入这些建议将有助于加强抗菌药物管理文献的证据基础,并支持减轻AMR的策略的最佳实施。

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