应对抗生素耐药性--来自 eHealthResp 教育干预的启示。

IF 3.1 3区 医学 Q1 PRIMARY HEALTH CARE NPJ Primary Care Respiratory Medicine Pub Date : 2024-11-13 DOI:10.1038/s41533-024-00388-5
Vanessa Neto, Marta Estrela, Ana Filipa Ribeiro, Andreia Novais, Carolina Neves, Maruxa Zapata-Cachafeiro, Adolfo Figueiras, Fátima Roque, Maria Teresa Herdeiro
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引用次数: 0

摘要

抗生素耐药性(AR)是全球公共卫生面临的一个重大挑战。这一现象导致抗生素耐药菌株的出现,使呼吸道感染的治疗变得越来越困难。针对医疗保健专业人员的教育干预措施对于改善处方实践和促进负责任地使用抗生素非常重要。事实证明,包括临床决策支持系统和移动应用程序在内的数字化工具可有效加强教育干预和临床决策。eHealthResp 项目就是这样一个项目,它包括一个在线课程和一个移动应用程序,旨在改善上呼吸道感染 (URTI) 的抗生素使用。在线课程提供临床信息和案例研究,而移动应用程序则是URTIs诊断的临床决策支持系统。本研究旨在分析初级保健医生和社区药剂师使用 eHealthResp 数字工具的模式。结果显示,医生和药剂师(人数=35)在完成在线课程评估时都取得了良好的进展和较高的成绩。移动应用程序数据显示,搜索到的病例具有不同的呼吸道症状,其中最常见的是急性鼻出血和吞咽时疼痛。大多数观察结果显示症状轻微,持续时间少于七天,这表明发生了急性自限性感染。尽管存在局限性,但数字工具在提高尿路感染管理的患者护理效果方面仍大有可为。未来的工作重点应该是扩大医疗专业人员的参与,加强教育干预,促进负责任地使用抗生素。
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Tackling antibiotic resistance-insights from eHealthResp's educational interventions.

Antibiotic resistance (AR) poses a significant challenging issue in public health worldwide. This phenomenon led to the emergence of antibiotic-resistant bacterial strains, making the treatment of respiratory infections increasingly difficult. Educational interventions targeting healthcare professionals are important to improve prescription practices and promote responsible antibiotic use. Digital tools, including clinical decision support systems and mobile applications, have proven to effectively enhance educational interventions and clinical decision-making. The eHealthResp project is one such initiative that includes an online course and a mobile app designed to improve antibiotic use for upper respiratory tract infections (URTIs). The online course provides clinical information and case studies, whereas the mobile app acts as a clinical decision support system for URTIs diagnosis. The purpose of this study is to analyse the utilization patterns of eHealthResp digital tools among primary care physicians and community pharmacists. Results showed that both physicians and pharmacists (n = 35) had favorable progress and high grades when completing the online course assessment. The mobile app data indicated a diverse range of searched cases with different respiratory symptoms, with the most common being acute nasal discharge and pain when swallowing. Most observations presented mild symptoms for less than seven days, suggesting the occurrence of acute self-limited infections. Despite limitations, digital tools show promise in enhancing patient care outcomes for managing URTIs. Future efforts should focus on expanding participation among health professionals and enhancing educational interventions to promote responsible antibiotic use.

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来源期刊
NPJ Primary Care Respiratory Medicine
NPJ Primary Care Respiratory Medicine PRIMARY HEALTH CARE-RESPIRATORY SYSTEM
CiteScore
5.50
自引率
6.50%
发文量
49
审稿时长
10 weeks
期刊介绍: npj Primary Care Respiratory Medicine is an open access, online-only, multidisciplinary journal dedicated to publishing high-quality research in all areas of the primary care management of respiratory and respiratory-related allergic diseases. Papers published by the journal represent important advances of significance to specialists within the fields of primary care and respiratory medicine. We are particularly interested in receiving papers in relation to the following aspects of respiratory medicine, respiratory-related allergic diseases and tobacco control: epidemiology prevention clinical care service delivery and organisation of healthcare (including implementation science) global health.
期刊最新文献
Use and acceptability of an asthma diagnosis clinical decision support system for primary care clinicians: an observational mixed methods study. Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus. Web-based pulmonary telehabilitation: a systematic review. Tackling antibiotic resistance-insights from eHealthResp's educational interventions. The Reliever Reliance Test: evaluating a new tool to address SABA over-reliance.
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