Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan
Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan
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DOI：
10.3855/jidc.3866
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发表时间：
2014-04-01
影响因子：
1.9
通讯作者：
Vlcek, Jiri
中科院分区：
文献类型：
--
作者：
Belkina, Tatyana;Al Warafi, Abdullah;Vlcek, Jiri
引言：抗生素的不适当使用导致发展中国家抗菌素耐药性急剧增加。我们研究了知识，态度和抗生素使用的做法在三个亚洲county.Methodology：在也门，沙特阿拉伯和乌兹别克斯坦的大城市的教师进行了全国性的横断面研究。在每个国家随机抽取了1 200名教师。数据收集通过一个基于统计的调查，然后使用描述性和多变量statistical methods.Results分析：非处方抗生素使用的患病率范围从48%在沙特阿拉伯到78%在也门和乌兹别克斯坦。药房是非处方抗生素的主要来源。使用抗生素的最常见原因是咳嗽（40%）和流感（34%）。49%的受访者在感觉好转时停用抗生素。虽然认识到抗生素使用的危险与自我药疗呈负相关，了解抗生素的适当使用是limited.Conclusions：抗生素自我药疗的患病率在受教育的成年人在研究的国家被发现是惊人的高。沿着对卫生专业人员和公众的教育干预，应实施有效的战略，包括禁止无处方销售抗生素的监管执法。
Introduction: Inappropriate use of antibiotics has resulted in a dramatic increase of antimicrobial resistance in developing countries. We examined knowledge, attitudes, and practices of antibiotic use in three Asian countries.Methodology: A nationwide cross-sectional study of teachers in large cities of Yemen, Saudi Arabia, and Uzbekistan was conducted. A random sample of 1,200 teachers was selected in each country. Data were collected through a questionnaire-based survey and then analyzed using descriptive and multivariate statistical methods.Results: The prevalence of non-prescription antibiotic use ranged from 48% in Saudi Arabia to 78% in Yemen and Uzbekistan. Pharmacies were the main source of non-prescribed antibiotics. The most common reasons for antibiotic use were cough (40%) and influenza (34%). Forty-nine percent of respondents discontinued antibiotics when they felt better. Although awareness of the dangers of antibiotic use correlated inversely with self-medication, understanding of the appropriate use of antibiotics was limited.Conclusions: The prevalence of antibiotic self-medication in the educated adult population in the studied countries was found to be alarmingly high. Effective strategies involving regulatory enforcement prohibiting sales of antibiotics without prescription should be implemented along with educational interventions for health professionals and the public.