Unnecessary antibiotic use for mild acute respiratory infections during 28-day follow-up of 823 children under five in rural Vietnam
Unnecessary antibiotic use for mild acute respiratory infections during 28-day follow-up of 823 children under five in rural Vietnam
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DOI：
10.1016/j.trstmh.2011.07.015
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发表时间：
2011-11-01
影响因子：
2.2
通讯作者：
Lundborg, Cecilia Stalsby
中科院分区：
文献类型：
--
作者：
Nguyen Quynh Hoa;Nguyen Thi Kim Chuc;Lundborg, Cecilia Stalsby
在社区环境中很少有关于使用抗生素治疗轻度急性呼吸道感染 (ARI) 的前瞻性研究。本文旨在评估儿童看护者的知识和五岁以下儿童的实际抗生素使用情况，并确定与轻度急性呼吸道感染抗生素治疗相关的因素。巴维 828 个家庭的护理人员。使用评估知识和实践的结构化问卷对越南进行了采访。随后，对 823 名儿童进行了为期 28 天的跟踪，以收集有关症状和药物使用的信息。对于 ARI 的管理，只有 13% 的护理人员按照标准指南表现出正确的整体知识。 79% 的病例最近发病的症状与轻度急性呼吸道感染一致，其中 71% 使用了抗生素。在 28 天期间，62% 的儿童接受了抗生素治疗，63% 的抗生素疗程用于治疗轻度急性呼吸道感染。一半的轻度 ARI 发作和 63% 的轻度 ARI 儿童接受了抗生素治疗。大多数不必要的抗生素治疗都是由医疗保健提供者推荐的（82%）。大多数儿童都因普通感冒服用了抗生素，尽管大多数护理人员认为不需要抗生素。该地区的卫生机构不必要地推荐使用抗生素。 (C) 2011 年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Few prospective studies regarding antibiotic use for mild acute respiratory infections (ARI) have been conducted in community settings. This paper aimed to assess knowledge of children's caregivers and actual antibiotic use for children under five and to identify factors associated with antibiotic treatment for mild ARIs. Caregivers in 828 households in Bavi. Vietnam, were interviewed using a structured questionnaire assessing both knowledge and practice. Subsequently, 823 children were followed for 28 days to collect information regarding symptoms and drug use. For management of ARIs, only 13% of caregivers demonstrated correct overall knowledge in accordance with standard guidelines. The symptoms of the most recent illness were consistent with mild ARI in 79% of cases, and antibiotics were used in 71% of these. During the 28-day period, 62% of children had been given antibiotics and 63% of antibiotic courses were used for mild ARIs. One-half of the mild ARI episodes and 63% of the children with mild ARIs were treated with antibiotics. Most of the unnecessary antibiotic treatment was recommended by healthcare providers (82%). Most of the children had been administered antibiotics for common colds, although most caregivers believed that antibiotics were not required. Antibiotics were unnecessarily recommended at health facilities in the area. (C) 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.