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达托霉素治疗感染性心内膜炎的快速卫生技术评估研究
Daptomycin for Infective Endocarditis: a Rapid Health Technology Assessment
  
DOI:
中文关键词:  达托霉素  感染性心内膜炎  快速卫生技术评估
英文关键词:Daptomycin  Infective endocarditis  Rapid health technology assessment
基金项目:
作者单位
白向荣 闫素英 ①首都医科大学宣武医院药剂科(北京 100053) 
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中文摘要:
      摘 要 目的:利用快速卫生技术评估工具对达托霉素霉素治疗感染性心内膜炎进行有效性、安全性、经济性评估,为医院药物遴选提供参考。 方法:通过计算机检索PubMed、the Cochrane Library等英文数据库和中国知网(CNKI)、中国生物医学文献服务系统(SinoMed)、万方数据等中文数据库。2名评价者独立提取数据结果。仅纳入达托霉素治疗感染性心内膜炎的系统评价、Meta分析、卫生技术评估和药物经济学研究,同时采用描述性分析对研究结论进行分类汇总。结果:共纳入3篇文献,1项为系统评价,2项为药物经济学研究。采用达托霉素治疗感染性心内膜炎的有效性和安全性研究结果与对照组(安慰剂、其他阳性对照药单药或联合其他常规用药)比较,差异均无统计学意义,药物经济学研究显示成本效果优于对照组。结论:对达托霉素治疗感染性心内膜炎的评估发现,快速卫生经济技术评估工具可作为一种简洁、快捷、易行的方法,为医院的药物遴选提供参考。
英文摘要:
      ABSTRACT Objective:To assess the effectiveness, safety, costs, and applicability by rapidly health technology assessment(HTA)on daptomycin to treat infective endocarditis, so as to provide currently available best evidence for decision makers of health policies in medication selection.Methods:Systematic review, Meta analysis, HTA and research of pharmacoeconomics regarding infective endocarditis treated by daptomycin were searched in the PubMed, the Cochrane Library, CNKI, WanFang Data, SinoMed. Literature were screened according to the inclusion and exclusion criteria, then data were extracted and quality of literature was assessed by two reviewer independently, and descriptive analysis was performed. Results: Three studies were finally included, encompassing one systems review, and two cost effective studies. The effectiveness and safety of daptomycin showed no significant difference with the control group (routine medication), economic studies have shown that more cost effectiveness than the control group. Conclusion:The evidence of this study showed that daptomycin was safe and effective in clinic after applying rapid health technology assessment. It was a tool could be used as a simple, fast, and easy way to provide a reference for the selection of medication in the hospital.
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