Ridurre la prescrizione di antibiotici nelle cure primarie: dai test point-of-care in ambulatorio alla gestione della comunicazione senza rinunciare alle prove di efficacia

C. Panza
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Abstract

Strategies for reducing antibiotic prescriptions in primary care: from point-of-care tests in the clinic to managing communication without giving up evidence of efficacy The Point-of-care test (POCT) is a diagnostic test that can be performed in the outpatient clinic or at the patient’s bedside; the simplicity of execution and the availability of the result of POCT during the visit has led to a strong diffusion of these diagnostic aids. The results of the trial reviewed in the article of the month show a lack of effectiveness of a POCT, detecting 18 viruses and 3 bacteria, in reducing antibiotic prescribing in children visited for respiratory infection. The commentary explores other possible strategies, besides POCTs, to reduce antibiotic therapy in paediatric respiratory infections.
在不放弃疗效测试的情况下,减少初级治疗中抗生素的处方,从门诊随机试验到沟通管理
减少初级保健中抗生素处方的策略:从诊所的即时检测到在不放弃疗效证据的情况下管理沟通。即时检测(POCT)是一种可在门诊诊所或患者床边进行的诊断检测;由于POCT的操作简单,并且在就诊期间可获得POCT的结果,这些诊断辅助手段得到了广泛的推广。本月文章回顾的试验结果显示,POCT检测出18种病毒和3种细菌,在减少因呼吸道感染就诊的儿童的抗生素处方方面缺乏有效性。该评论探讨了除poct外,减少儿科呼吸道感染抗生素治疗的其他可能策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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