关键词: Infectious disease Sub-Saharan Africa antimicrobial resistance knowledge microorganism prescription

来  源:   DOI:10.2147/IDR.S463197   PDF(Pubmed)

Abstract:
UNASSIGNED: Historically, antimicrobials have been used to treat microbial illnesses in humans and animals. But throughout this time, antibiotics that had been successful against particular microorganisms started to lose their effectiveness due to rising inappropriate use brought on by ignorance, negligent attitudes, and improper methods. Our goal in conducting this study was to ascertain the knowledge, attitudes, and practices of doctors with relation to the use of antibiotics in light of the growing global and Sub-Saharan African problem of antimicrobial resistance.
UNASSIGNED: In a tertiary hospital in Mogadishu, Somalia, a cross-sectional survey study was carried out to assess experts\' and research assistants\' knowledge, attitudes, behavior, awareness, and practices regarding the use of antibiotics and antibiotic resistance. A questionnaire consisting of 2 sections and 22 questions was applied to the participants on a voluntary basis.
UNASSIGNED: Among the 202 doctors that participated in the study, 49 (24.3%) were specialists, and 153 (75.7%) were assistants. Prescriptions for one to ten antibiotic boxes per week on average were reported by 146 respondents (72.3%). Of the physicians, just 27 (13.4%) did not require assistance when prescribing an antibiotic. The most often accessed sources of support were experts in infectious diseases (43.1%) and national/international antimicrobial guidelines (32.2%). The top three factors contributing to antibiotic resistance in Somalia include misuse of antibiotics (61.4%), unnecessary prescriptions written by doctors (44.6%), and an absence of infectious disease specialists in most institutions (44.1%).
UNASSIGNED: As an alarming level of antimicrobial resistance has been observed globally in recent years, the results of our survey will help educate our doctors by gauging their perceptions, attitudes, and knowledge about rational antibiotic use in Sub-Saharan Africa. This will provide better patient outcomes.
摘要:
历史上,抗微生物剂已用于治疗人类和动物的微生物疾病。但是在这段时间里,由于无知带来的越来越多的不当使用,对特定微生物成功的抗生素开始失去效力,疏忽的态度,方法不当。我们进行这项研究的目的是确定知识,态度,鉴于全球和撒哈拉以南非洲日益增长的抗菌素耐药性问题,以及医生在抗生素使用方面的做法。
在摩加迪沙的一家三级医院,索马里,进行了一项横断面调查研究,以评估专家和研究助理的知识,态度,行为,意识,以及有关抗生素使用和抗生素耐药性的实践。在自愿的基础上,对参与者采用了由2个部分和22个问题组成的调查表。
在参加这项研究的202名医生中,49名(24.3%)是专家,助理人数为153人(75.7%)。146名受访者(72.3%)报告了每周平均1至10个抗生素盒的处方。在医生中,只有27人(13.4%)在开抗生素时不需要帮助.最经常获得的支持来源是传染病专家(43.1%)和国家/国际抗菌指南(32.2%)。导致索马里抗生素耐药性的三大因素包括滥用抗生素(61.4%),医生开出的不必要处方(44.6%),大多数机构都没有传染病专家(44.1%)。
由于近年来在全球范围内观察到了令人震惊的抗菌素耐药性水平,我们的调查结果将有助于通过衡量他们的看法来教育我们的医生,态度,以及撒哈拉以南非洲合理使用抗生素的知识。这将提供更好的患者结果。
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