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首页> 外文期刊>Internal medicine journal >A survey of medical staff attitudes to an antibiotic approval and stewardship programme.
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A survey of medical staff attitudes to an antibiotic approval and stewardship programme.

机译：医务人员对抗生素批准和管理计划态度的调查。

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BACKGROUND: Antibiotic stewardship programmes (ASPs) are advocated to ensure appropriate antimicrobial use; with short-term evidence they may improve outcomes, limit adverse effects, encourage cost-effectiveness and reduce antibiotic resistance. At Concord Hospital, a 450-bed acute care hospital, we have used a telephone-based ASP for 15 years. There may be differences in attitudes to the ASP by prescribers, which may influence its long-term efficacy. METHOD: A 40-item self-administered questionnaire was sent to 190 junior and 250 specialist medical staff. We aimed to elicit medical staff attitudes to the ASP's utility, educational value, effect on patient care and ease of use. RESULTS: One hundred and sixty-four completed questionnaires were returned. Most (82%, 95% confidence interval (95%CI) 75-87%) clinicians had used the ASP, 98% of whom believed it to be a reasonable system. Most staff (85%, 95%CI 79-90%) believed that seeking approval made teams think carefully about antibiotic choice, agreed it provided helpful advice (91%, 95%CI 85-95%) and that the approval system provided useful advice and was educational (88%, 95%CI 81-92%). The ASP was felt time-consuming and detracting from clinical duties by 33% (95%CI 26-41%), while 10% (95%CI 5.8-15.7%) believed it undervalued intuition and experience. Few (19%, 95%CI 13-25%, P < 0.0001) clinicians believed it infringed their autonomy. The advice given through the ASP was believed by most (89%, 95%CI 81-92%) to improve patient outcomes. CONCLUSION: The ASP was surprisingly well supported by all levels of staff, and reinforced the benefits of maintaining an ASP policy.
机译：背景：提倡抗生素管理计划（ASPs）以确保适当的抗菌药物使用。有短期证据，它们可以改善治疗效果，限制不良反应，提高成本效益并降低抗生素耐药性。在拥有450个床位的急救医院Concord Hospital，我们使用基于电话的ASP已有15年了。开处方者对ASP的态度可能有所不同，这可能会影响其长期疗效。方法：将40项自我管理的问卷发送给190名初级和250名专职医疗人员。我们旨在激发医务人员对ASP的效用，教育价值，对患者护理的影响和易用性的态度。结果：共返回了164份问卷。大多数（82％，95％置信区间（95％CI）75-87％）的临床医生都使用过ASP，其中98％的人认为ASP是一个合理的系统。大多数工作人员（85％，95％CI 79-90％）认为寻求批准使团队对抗生素的选择进行了认真思考，同意其提供了有益的建议（91％，95％CI 85-95％），并且批准系统提供了有用的信息咨询和教育（88％，95％CI 81-92％）。 ASP被认为是耗时的并且降低了临床职责33％（95％CI 26-41％），而10％（95％CI 5.8-15.7％）认为它低估了直觉和经验。很少（19％，95％CI 13-25％，P <0.0001）临床医生认为这侵犯了他们的自主权。大多数人（89％，95％CI 81-92％）认为通过ASP提供的建议可改善患者预后。结论：ASP出人意料地得到了各级员工的大力支持，并加强了维护ASP政策的好处。

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