Self-medication with antibiotics -: Does it really happen in Europe?
Self-medication with antibiotics -: Does it really happen in Europe?
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DOI：
10.1016/j.healthpol.2005.07.001
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发表时间：
2006-07-01
期刊：
影响因子：
3.3
通讯作者：
Airaksinen, M
中科院分区：
文献类型：
--
作者：
Väändnen, MH;Pietilä, K;Airaksinen, M
目的和方法：本研究的目的是确定西班牙南部（欧盟地区）是否使用抗生素进行自我药疗。该数据是通过 2002 年在西班牙太阳海岸地区进行的一项调查收集的，该调查使用了 1000 名永久居住在该地区的芬兰人的便利样本（答复率为 53%，n = 530）。结果：28% 的受访者在查询前的前 6 个月内使用过抗生素。在抗生素使用者中，41% 的人在没有处方的情况下购买了抗生素。显然，使用抗生素最常见的适应症是普通感冒，几乎一半 (45%) 的抗生素使用者将其报告为用药目的，其次是喉咙痛 (17%)。处方抗生素使用者和非处方抗生素使用者之间的疗程数量没有差异，大多数使用者（64%）使用过一个疗程。根据使用的背景变量（包括出现不良反应的频率），各组也没有差异。结论：在西班牙南部的芬兰移民中，不必要和不合理的抗生素自我治疗似乎很常见。这可能表明，包括社区药房在内的西班牙医疗保健系统未能履行其加强合理用药的任务。重要的是，欧盟内的所有成员国都将承担起在其国家政策中促进公共卫生目标的责任，例如尽量减少抗生素耐药性的扩大。 (c) 2005 Elsevier Ireland Ltd. 保留所有权利。
Aims and methods: The aim of this study was to determine whether antibiotics are used for self-medication in southern Spain, a region belonging to European Union. The data were collected by a survey in the Costa del Sol region, Spain during 2002 by using a convenience sample of 1000 Finns living permanently in the area (response rate 53%, n = 530).Results: Antibiotics were used by 28% of the respondents during the previous 6 months before the query. Of the antibiotic users, 41% had bought their antibiotics without a prescription. Clearly the most common indication for antibiotic use was common cold, with almost half (45%) of the antibiotic users reporting it as purpose of medication, followed by sore throat (17%). The number of courses did not differ between prescription and non-prescription antibiotic users, most (64%) of the users having used one course. Neither did the groups differ according to background variables used, including the frequency of experiencing adverse reactions.Conclusions: Unnecessary and unrational self-medication with antibiotics seems to be common in southern Spain among Finnish immigrants. This may indicate that Spanish health care system, including community pharmacies are failing their task in enhancing rational use of medicines. It is important that all the member countries within EU will take their responsibility in promoting public health goals in their national policy, e.g., in minimising the antibiotic resistance for expanding. (c) 2005 Elsevier Ireland Ltd. All rights reserved.