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How to educate prescribers in antimicrobial stewardship practices

机译:如何教育开处方抗菌药物管理实践

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摘要

Widespread antimicrobial use has compromised its value, leading to a crisis of antimicrobial resistance. A major cause of misuse is insufficient knowledge of prescribing of antimicrobials in many categories of professionals. An important principle of antimicrobial stewardship is avoiding selection pressure in the patient, both on pathogen and commensal by avoiding unnecessary use, choosing the least broad-spectrum antibiotic, adequate doses, a good timing and the shortest possible duration. Up to now, most educational efforts have been targeted at professionals (mostly medical doctors) after their training and at the adult public. In the past few years, progress has been made in educating children. It is now crucial that academia and ministries of Health and Education jointly focus on an adapted undergraduate medical/professional curriculum that teaches all necessary principles of microbiology, infectious diseases and clinical pharmacology, with emphasis on the principles of prudent prescribing.
机译:广泛的抗菌剂使用已经损害其价值,导致抗菌性抗性危机。滥用的主要原因是许多类别的专业人士在许多类别中规定抗菌药物的知识。抗微生物监护的一个重要原理是通过避免不必要的使用,选择至少广谱抗生素,足够剂量,良好的定时和最短可能持续时间避免了患者的选择压力,既对病原体和共生。截至目前,在培训和成人公众的培训后,大多数教育工作都是针对专业人士(主要是医生)。在过去几年中,在教育儿童方面取得了进展。它现在至关重要,即卫生和教育部共同关注适应的本科医疗/专业课程,教授微生物学,传染病和临床药理学的所有必要原则,重点是审慎处方的原则。

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