2015年11月18日星期三

Doctors need to request the use of antibiotics in patients with caution

Antibiotics to treat bacterial infections of the elixir, but excessive use can also have an adverse effect, that the professionals are well aware. However, ordinary people only know the advantages of antibiotics, and therefore suffering from infectious diseases often require doctors to prescribe antibiotics. So in the end this prescription should not open it, if it should not open, how should convince the patient to abandon the unreasonable demands?
One study pointed out that through coordination and communication between patients and doctors, and thus make decisions together, can effectively reduce the extent of antibiotic prescriptions issued. But only for short-term treatment has an impact, whether we can maintain a long time is still unknown.
From Bond University in Queensland, Australia, Professor Peter Coxeter in "Cochrane Database of Systematic Reviews" on-line magazine published a review article in the article, the authors summarize the 10 pairs of patients suffering from respiratory tract infections in the previous survey. These patients had received private care or general academic practice consulting services.
The authors summarize recent decades have done this 10 study, he pointed out that "joint coordination decision" is a relatively new doctor-patient communication.
In the short term, promoting the exchange of personal care doctors and patients to make decisions together can significantly reduce antibiotic prescriptions issued by respiratory infections rate (40%). However, this results in the long term and not very stable.
The researchers believe that the credibility of these results did not reach enables people to change the attitude of resistance to antibiotics.
In the short term, this particular doctor-patient communication can reduce the chance of antibiotic treatment, and will not result in lower patient satisfaction or again consult intentions.
Prior to a review of the article also states: doctor-patient exchange of health professionals and patient guidance is the ability to reduce respiratory tract infection antibiotic prescriptions issued by the chance, the article has the same purpose.
"My view is that no one will exclude this approach (co-decision)," Professor Fan of the University of Fort William Schaffner said, "and the result is indeed very credible."
However, Professor Schaffner also mentioned that part of the study, physicians also need to strengthen the ability to communicate with patients, and these studies indicate that orphans meters have public communication have an effect how long it takes.
Today, doctors are often mentioned in the doctor-patient dialogue vaccine, however, this article needs to remind doctors of the negative effects of antibiotics is explained in detail, which requires a longer period of time, then, also need some conversation skills. Dr. Schaffner conversation cited an example of a pediatrician. "The doctors had tried to persuade patients to reduce the use of antibiotics, but in the end exhausted and had issued a prescription of antibiotics." Risk doctors do not need to conduct a conversation again, but can so that patients can take the initiative to realize that the use of antibiotics

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