Chaw Pa Saidou, Schlinkmann Kristin Maria, Raupach-Rosin Heike, Karch André, Pletz Mathias W, Huebner Johannes, Mikolajczyk Rafael
ESME - Epidemiological and Statistical Methods Research Group, Department of Epidemiology, Helmholtz Centre for Infection Research, 38124 Braunschweig, Germany.
PhD Programme, "Epidemiology" Braunschweig-Hannover, Germany.
Trans R Soc Trop Med Hyg. 2017 Mar 1;111(3):117-124. doi: 10.1093/trstmh/trx027.
Inappropriate antibiotic use is the leading cause of antibiotic resistance worldwide. At the same time, the practice of antibiotic prescribing in Africa is less well documented when compared to developed countries. The objective of the study was to assess the knowledge, attitude, and practice (KAP) of health practitioners towards antibiotic prescribing and microbiological testing in The Gambia.
A KAP survey was conducted in The Gambia from March to May 2016. Self-administered paper-based questionnaires were distributed to health practitioners working in 12 health facilities.
Out of 241 questionnaires distributed, 216 (89.6%) were returned. One third of respondents reported making a request for microbiological tests or using results as a guide in less than 25% of patients with possible infectious disease. Thirty-two percent of the participants reported that '25-50%' of antibiotic prescriptions in their departments were inappropriate. Only 16.1% of the participants had some training on antibiotic prescribing in the last 12 months. Respondents agreed with the options 'inadequate supervision' (82.6%) and 'insufficient laboratory support' (82.5%) as the main causes of inappropriate antibiotic use in their settings.
There are deficits related to antibiotic prescriptions in The Gambia. Availability and use of microbiological services and training should be emphasized.
抗生素使用不当是全球抗生素耐药性的主要原因。与此同时，与发达国家相比，非洲抗生素处方的做法记录较少。本研究的目的是评估冈比亚卫生从业人员在抗生素处方和微生物检测方面的知识、态度和实践（KAP）。
2016年3月至5月在冈比亚进行了一项KAP调查。向在12个医疗机构工作的卫生从业人员发放了纸质自填问卷。
在发放的241份问卷中，216份（89.6%）被收回。三分之一的受访者报告称，在不到25%的可能患有传染病的患者中，他们会要求进行微生物检测或使用检测结果作为指导。32%的参与者报告称，其所在科室“25%-50%”的抗生素处方是不恰当的。在过去12个月中，只有16.1%的参与者接受过抗生素处方方面的培训。受访者认为“监督不足”（82.6%）和“实验室支持不足”（82.5%）是其所在环境中抗生素使用不当的主要原因。
冈比亚在抗生素处方方面存在不足。应强调微生物服务的可及性和使用以及培训。
