Strategies and challenges for safe injection practice in developing countries.
Strategies and challenges for safe injection practice in developing countries.
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DOI：
10.4103/0976-500x.107634
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发表时间：
2013-01
影响因子：
0.2
通讯作者：
Kumar KV
中科院分区：
文献类型：
--
作者：
Gyawali S;Rathore DS;Shankar PR;Kumar KV
注射是全球用于给药的重要卫生保健程序之一。它的不安全使用可以传播各种血源性病原体。本文旨在回顾注射实践的历史和现状，其重要性，干预措施和发展中国家安全注射实践的挑战。注射的历史始于世纪早期注射器的发现。发达国家的安全注射做法始于世纪初，但在发展中国家没有得到足够的重视。安全注射全球网络（SIGN）的建立是全球安全注射实践的里程碑。在发展中国家，人们认为注射是一种强大的治疗工具，并毫不犹豫地为注射支付更多费用。不安全处置和重复使用受污染的注射器是常见的。确保安全注射实践是发展中国家医疗保健系统面临的最大挑战之一。为解决这一问题，必须在一些利益攸关方的积极参与下采取干预措施。教育，管理和监管战略的组合被认为是有效的和经济上可行的。合理和安全地使用注射可以挽救许多生命，但不安全的做法威胁着生命。安全注射做法在发展中国家至关重要。需要在政策制定者的帮助下，在服务提供者、接受者和社区的诚实承诺和参与下，采取基于证据的干预措施，以确保安全注射做法。
Injection is one of the important health care procedures used globally to administer drugs. Its unsafe use can transmit various blood borne pathogens. This article aims to review the history and status of injection practices, its importance, interventions and the challenges for safe injection practice in developing countries. The history of injections started with the discovery of syringe in the early nineteenth century. Safe injection practice in developed countries was initiated in the early twentieth century but has not received adequate attention in developing countries. The establishment of “Safe Injection Global Network (SIGN)” was an milestone towards safe injection practice globally. In developing countries, people perceive injection as a powerful healing tool and do not hesitate to pay more for injections. Unsafe disposal and reuse of contaminated syringe is common. Ensuring safe injection practice is one of the greatest challenges for healthcare system in developing countries. To address the problem, interventions with active involvement of a number of stakeholders is essential. A combination of educational, managerial and regulatory strategies is found to be effective and economically viable. Rational and safe use of injections can save many lives but unsafe practice threatens life. Safe injection practice is crucial in developing countries. Evidence based interventions, with honest commitment and participation from the service provider, recipient and community with aid of policy makers are required to ensure safe injection practice.