Knowledge and Practices in the Diagnosis and Treatment of Corneal Infections by Nepalese Pharmaceutical Shop Workers
Knowledge and Practices in the Diagnosis and Treatment of Corneal Infections by Nepalese Pharmaceutical Shop Workers
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DOI：
10.4269/ajtmh.20-0555
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发表时间：
2020-10-01
影响因子：
3.3
通讯作者：
Keenan, Jeremy D.
中科院分区：
文献类型：
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作者：
Bhandari, Sadhan;Nesemann, John M.;Keenan, Jeremy D.
尼泊尔的医药店是治疗包括眼科疾病在内的许多疾病的主要场所。我们试图评估药店工人对角膜溃疡和擦伤的知识。来自尼泊尔巴拉特布尔周围117家不同药店的一名药店工作人员收到了四张不同的眼睛照片(即角膜溃疡、角膜擦伤、结膜炎和正常眼睛)，并被问及诊断和处理。在117名参与者中，86名(74%)正确识别结膜炎，但很少有人能够识别角膜擦伤(50/117；43%)或角膜感染(47/117；40%)。当给出潜在药物分配的图解时，15名(13%)参与者选择了含有皮质类固醇的局部药物用于角膜擦伤，25名(21%)选择了含有皮质类固醇的局部药物用于角膜溃疡。考虑到这些药物有可能加重角膜擦伤和溃疡，适当使用皮质类固醇治疗外眼感染是额外培训的一个重要课题。
Medical shops in Nepal are a main point of treatment for many diseases including ophthalmic conditions. We sought to evaluate pharmaceutical shop worker knowledge of corneal ulcers and abrasions. A pharmaceutical shop worker from each of 117 different pharmacies surrounding Bharatpur, Nepal, was presented four different eye photographs (i.e., corneal ulcer, corneal abrasion, conjunctivitis, and a normal eye) and asked about diagnosis and management. Of 117 participants, 86 (74%) identified conjunctivitis correctly but few were able to identify corneal abrasion (50/117; 43%) or corneal infection (47/117; 40%). When presented with an illustrated diagram of potential medications to dispense, 15 (13%) participants chose a topical medication containing a corticosteroid for the corneal abrasion and 25 (21%) did so for the corneal ulcer. The appropriate use of corticosteroids for external eye infections is an important topic for additional training, given the potential for these medications to worsen corneal abrasions and ulcers.