关键词: Antibiotic stewardship Antimicrobial resistance Non-prescription antibiotic use

Mesh : Humans Cross-Sectional Studies Self Medication / statistics & numerical data Male Female China / epidemiology Anti-Bacterial Agents / therapeutic use COVID-19 / epidemiology Adult Health Personnel / statistics & numerical data Middle Aged Prevalence SARS-CoV-2 Health Knowledge, Attitudes, Practice Young Adult Adolescent Surveys and Questionnaires Pandemics

来  源:   DOI:10.1016/j.ajic.2024.02.008

Abstract:
Self-medication with antibiotics (SMA) is a common public health concern. This study aimed to assess the prevalence of SMA in the general public and health professionals during the COVID-19 pandemic and identify the associated factors.
A cross-sectional study was conducted from October 28, 2022, to November 6, 2022. Logistics regression analysis was used to examine the associated factors.
The rate of SMA was 10.25% in the general public and 12.69% in health professionals. For the public, those who perceived themselves as average or good health, had moderate antibiotic knowledge, and had easy access to nearby health facilities were less likely to SMA; while those who live in rural areas, found it easy to purchase antibiotics without prescriptions, and those who frequently encountered antibiotics recommended by pharmacy staff were more likely to SMA. For health professionals, those who were female, perceived themselves as good health, had moderate or high antibiotic knowledge, and had easy access to health facilities were less likely to SMA; while those who found it easy to purchase antibiotics without prescriptions were more likely to SMA.
SMA is prevalent in both the general public and health professionals. Promoting the rational use of antibiotics requires joint participation and effort.
摘要:
背景:使用抗生素(SMA)的自我药物治疗是常见的公共卫生问题。本研究旨在评估在COVID-19大流行期间,一般公众和卫生专业人员中SMA的患病率,并确定相关因素。
方法:从2022年10月28日至2022年11月6日进行了横断面研究。采用物流回归分析对相关因素进行检验。
结果:一般公众中SMA的发生率为10.25%,卫生专业人员中为12.69%。对于公众来说,那些认为自己一般或身体健康的人,有适度的抗生素知识,并且可以方便地使用附近的医疗设施,SMA的可能性较小;而那些生活在农村地区的人,发现没有处方就很容易购买抗生素,那些经常遇到药房工作人员推荐的抗生素的患者更有可能使用SMA.对于卫生专业人员来说,那些是女性的,认为自己身体健康,有中等或高的抗生素知识,并且容易获得医疗设施的人不太可能使用SMA;而那些发现容易购买抗生素而没有处方的人更有可能使用SMA。
结论:SMA在普通公众和卫生专业人员中都很普遍。促进抗生素的合理使用需要共同参与和努力。
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