Facultat de Medicina, Unitat Docent de la Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Fundació Institut Català de Farmacologia, Barcelona, Spain.
Glob Public Health. 2020 Dec;15(12):1871-1877. doi: 10.1080/17441692.2020.1775864. Epub 2020 Jun 6.
Problems with access to medicines, either by shortage or excess can be especially relevant in refugee camps. In the present study, we describe the medicines found in a sample of the Western Sahara refugee households, with special emphasis on antimicrobials and their use. All households of the 2nd district of Mahbes , in the Smara of the Sahrawi Refugee Camps in Tindouf (Algeria) were visited during 10 days in April 2019 in order to know which medicines are kept at home. Seventy-six families were included in the study and 269 medicines were found. Eight (10.5%) did not have any medical product at home and the remaining 68 (89.5%) had a median of 3 drugs, ranging from 1 to 13. The most consumed drugs were analgesics (35.7%) and antimicrobials (15.6%). Most medicines had been prescribed, but in the case of antimicrobials, an incomplete consumption pattern was observed in 42.9% of the cases and, more worrying, one-third of them were used to treat viral or non-infectious diseases. This first drug utilization study in the Saharawi population highlighted the importance, not only to ensure appropriate access to medicines in refugee's camps, but also to watch over their appropriate use.
药品可及性问题，无论是短缺还是过剩，在难民营中可能尤为突出。在本研究中，我们描述了在撒哈拉难民难民营斯马拉的第 2 区的一个西撒哈拉难民家庭样本中发现的药品，特别强调了抗生素及其使用情况。2019 年 4 月的 10 天里，我们走访了廷杜夫（阿尔及利亚）的 Mahbes 第 2 区的所有家庭，以了解家中保存了哪些药品。共有 76 个家庭被纳入研究，发现了 269 种药品。有 8 个家庭（10.5%）家中没有任何医疗产品，其余 68 个家庭（89.5%）中位数有 3 种药物，范围为 1 至 13 种。消耗量最大的药物是镇痛药（35.7%）和抗生素（15.6%）。大多数药物都是处方开具的，但在抗生素方面，有 42.9%的情况存在不完全消耗模式，更令人担忧的是，其中三分之一的抗生素用于治疗病毒或非传染性疾病。这是对撒哈拉人口进行的第一项药物利用研究，突出了不仅要确保难民营地获得适当的药物，还要注意药物的合理使用的重要性。
