Awosan K J, Ibitoye P K, Abubakar A K
Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria.
Department of Paediatrics, Usmanu Danfodiyo University, Sokoto, Nigeria.
Niger J Clin Pract. 2018 Nov;21(11):1476-1483. doi: 10.4103/njcp.njcp_69_18.
Resistance to antibiotics is now a serious threat to global health, and inappropriate use of drugs has been identified as a major contributing factor in the developing countries.
The aim of this study is to assess the knowledge, risk perception, and practices related to antibiotic resistance among patent medicine vendors (PMVs) in Sokoto metropolis, Nigeria.
A cross-sectional study was conducted among 200 PMVs selected by multi-stage sampling technique. Data were collected with a set of pretested, self administered, semi structured questionnaire.
A larger proportion (83, 42.1%) of the 197 respondents who completed the questionnaire were aged 20 29 years. Most of them were males (80.2%) and had tertiary education (80.7%). Most of the respondents had adequate knowledge of the causes of antibiotic resistance (94.9%), and its prevention (98.0%). Most of the respondents also perceived antibiotic resistance as a serious threat to their own health (95.4%), and the health of their clients (89.4%). Practices favorable to the development of antibiotic resistance were very prevalent among the respondents. Majority of respondents (59.9%) consistently sell antibiotics to clients without doctor's prescription, and close to half of them (49.2%) consistently practice self-medication.
Despite high levels of knowledge of the causes, prevention, and perception of the risks associated with antibiotics resistance, practices favorable to its development were very prevalent among PMVs in Sokoto, Nigeria. Government should regulate and closely monitor PMVs' practices in order to avert the looming crisis in medical practice that will become inevitable if there are no potent antibiotics.
抗生素耐药性现已成为全球健康的严重威胁,在发展中国家,药物的不当使用已被确定为一个主要促成因素。
本研究旨在评估尼日利亚索科托市专利药品销售商(PMV)对抗生素耐药性的知识、风险认知及相关行为。
采用多阶段抽样技术选取200名PMV进行横断面研究。通过一组经过预测试、自行填写的半结构化问卷收集数据。
在完成问卷的197名受访者中,较大比例(83名,42.1%)年龄在20至29岁之间。他们大多为男性(80.2%),拥有高等教育学历(80.7%)。大多数受访者对抗生素耐药性的成因(94.9%)及其预防措施(98.0%)有充分了解。大多数受访者也认为抗生素耐药性对自身健康(95.4%)和客户健康(89.4%)构成严重威胁。在受访者中,有利于抗生素耐药性发展的行为非常普遍。大多数受访者(59.9%)一直无医生处方就向客户出售抗生素,近一半受访者(49.2%)一直自行用药。
尽管尼日利亚索科托市的PMV对抗生素耐药性的成因、预防措施及风险认知水平较高,但有利于其发展的行为却非常普遍。政府应规范并密切监测PMV的行为,以避免医疗实践中即将出现的危机,若没有有效的抗生素,这一危机将不可避免。