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The role of education in antimicrobial stewardship.
Journal of Hospital Infection ( IF 3.9 ) Pub Date : 2020-03-31 , DOI: 10.1016/j.jhin.2020.03.028
J Satterfield 1 , A R Miesner 2 , K M Percival 3
Affiliation  

The role of antimicrobial stewardship programs (ASPs) has expanded in health systems. ASP interventions often contain an educational component; however, current guidelines suggest that educational interventions should not be used alone but to support other stewardship interventions. Such interventions are most commonly directed towards prescribers (often general practice physicians) with few studies offering education towards other healthcare providers such as pharmacists, nurses, or even members of the stewardship team. Educational interventions are offered most frequently, but not exclusively, with concomitant stewardship interventions such as prospective audit and feedback. Such strategies appear to positively impact prescribing behaviors, but it is not possible to isolate the effect of education from other interventions. Common educational methods include one time seminars and online e-learning modules, but unique strategies such as social media platforms, educational video games and problem-based learning modules have also been employed. Education directed towards patients often occurs in conjunction with education of local prescribers and wider community-based efforts to impact prescribing. Such studies evaluating patient education often include passive educational leaflets and focus most often on appropriate treatment of upper respiratory tract infections. Educational interventions appear to be an integral component of other interventions of ASPs; however, there is a paucity of evidence to support use as a stand-alone intervention outside of regional public health interventions. Future studies should focus on efficacy of educational interventions including providing education to non-prescribers and disease states beyond upper respiratory tract infections to demonstrate a broader role for education in ASP activities.



中文翻译:

教育在抗菌素管理中的作用。

抗菌素管理计划(ASPs)在卫生系统中的作用已经扩大。ASP干预通常包含教育成分。但是,当前的指南建议教育干预措施不应单独使用,而应支持其他管理干预措施。此类干预措施最常针对开处方者(通常是全科医生),很少有研究提供对其他医疗保健提供者(例如药剂师,护士甚至管理团队成员)的教育。提供教育干预的次数最多,但并非唯一,同时提供管理干预措施,例如前瞻性审核和反馈。这种策略似乎对处方行为产生积极影响,但不可能将教育效果与其他干预措施区分开。常见的教育方法包括一次研讨会和在线电子学习模块,但是还采用了独特的策略,例如社交媒体平台,教育视频游戏和基于问题的学习模块。针对患者的教育通常与当地处方药的教育以及更广泛的基于社区的影响处方的努力相结合。这类评估患者教育的研究通常包括被动教育传单,并且最常侧重于上呼吸道感染的适当治疗。教育干预似乎是ASP的其他干预的组成部分;但是,在区域公共卫生干预措施之外,没有证据支持将其作为独立干预措施使用。

更新日期:2020-03-31
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