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首页> 外文期刊>The Canadian journal of hospital pharmacy. >THE 'CON' SIDE
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THE 'CON' SIDE

机译：“骗局”的一面

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As far back as 1975, the need for an automatic stop-order (ASO) policy has been questioned.1 Proponents have suggested that such policies promote rational and effective use of antimicrobials, reduce antimicrobial resistance, protect the patient from harm, and protect the payer (be that the patient or the institution) from unnecessary expense.23 However, it can be easily argued that ASO policies for antimicrobials may actually have the opposite effects.No evidence exists that ASO policies improve the rational use of antimicrobials. Ensuring that the duration of antimicrobial therapy does not extend beyond a predetermined number of days may limit drug costs, but it does little to promote rational use. Rather, rational antimicrobial therapy calls for the minimum duration of administration necessary to obtain the desired clinical outcome, usually cure. Determination of that minimum duration of therapy requires assessment by the individual patient's health care team at a frequency that allows for sound, clinically based decisions regarding continuation or discontinuation of therapy. In contrast, a strictly enforced ASO
机译：早在1975年，就一直在质疑是否需要采用自动停止订单（ASO）政策。1支持者建议，此类政策应促进合理有效地使用抗菌素，降低抗菌素耐药性，保护患者免受伤害并保护抗菌素。 23（但是，可以很容易地争辩说，ASO抗菌药物政策实际上可能会产生相反的效果。没有证据表明ASO政策改善了抗菌药物的合理使用。确保抗微生物治疗的持续时间不超过预定的天数可能会限制药物费用，但对促进合理使用几乎没有作用。相反，合理的抗微生物治疗要求获得所需临床结果（通常是治愈）所需的最短给药时间。确定治疗的最短持续时间需要个体患者的医疗团队进行评估，评估的频率应允许就继续或终止治疗做出合理的，基于临床的决定。相反，严格执行的ASO

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