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孟加拉国达卡市学龄儿童父母中导致抗生素滥用的因素。

Factors contributing to antibiotic misuse among parents of school-going children in Dhaka City, Bangladesh.

机构信息

Population Health Studies Division, Center for Health Innovation, Research, Action, and Learning-Bangladesh (CHIRAL Bangladesh), 9-10 Chittaranjan Ave, Dhaka, 1100, Bangladesh.

Department of Microbiology, Jagannath University, 9-10 Chittaranjan Ave, Dhaka, 1100, Bangladesh.

出版信息

Sci Rep. 2024 Jan 28;14(1):2318. doi: 10.1038/s41598-024-52313-y.

DOI:10.1038/s41598-024-52313-y
PMID:38282010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10822859/
Abstract

Antimicrobial resistance (AMR) is a pressing global health concern, especially in resource-constrained countries, such as Bangladesh. This study aimed to identify the factors contributing to antibiotic misuse by assessing knowledge, attitude, and practice (KAP). A cross-sectional study was conducted from August 20 to August 30, 2022, among 704 parents of school-going children in Dhaka South City. Descriptive statistics were used to analyze the KAP, and multivariate models, including linear and ordinal logistic regression, were used to explore the associations between these factors. The findings revealed that approximately 22% of the participants were male and 78% were female. Most parents (58%) had completed higher secondary education. Approximately 45% of the respondents demonstrated moderate knowledge, 53% had uncertain attitudes, and 64% exhibited antibiotic misuse. Factors such as parental age, education level, employment status, income, child's age, and family type significantly influenced KAP. These findings emphasize the importance of targeted education and awareness initiatives to enhance knowledge and responsible antibiotic use among parents, contributing to global efforts against antibiotic resistance. The government should enforce laws and regulations regarding the misuse of antibiotics.

摘要

抗菌药物耐药性(AMR)是一个紧迫的全球健康问题,特别是在资源有限的国家,如孟加拉国。本研究旨在通过评估知识、态度和实践(KAP)来确定导致抗生素滥用的因素。2022 年 8 月 20 日至 8 月 30 日,在达卡市南区的 704 名在校儿童家长中进行了一项横断面研究。采用描述性统计方法分析 KAP,并使用多元模型,包括线性和有序逻辑回归,来探讨这些因素之间的关联。结果显示,约 22%的参与者为男性,78%为女性。大多数家长(58%)完成了高中教育。约 45%的受访者表现出中等程度的知识,53%的受访者态度不确定,64%的受访者表现出抗生素滥用行为。家长的年龄、教育水平、就业状况、收入、孩子的年龄和家庭类型等因素显著影响 KAP。这些发现强调了针对父母进行目标明确的教育和提高认识举措的重要性,以增强知识和负责任地使用抗生素,从而为全球对抗抗生素耐药性做出贡献。政府应执行有关抗生素滥用的法律法规。

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本文引用的文献

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Irrational use of antibiotics and factors associated with antibiotic resistance: Findings from a cross-sectional study in Bangladesh.抗生素的不合理使用及与抗生素耐药性相关的因素:来自孟加拉国一项横断面研究的结果
Health Sci Rep. 2023 Jul 28;6(8):e1465. doi: 10.1002/hsr2.1465. eCollection 2023 Aug.
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Antimicrobial Resistance (AMR).抗微生物药物耐药性(AMR)。
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Factors Driving Antimicrobial Resistance in Rural Bangladesh: A Cross-Sectional Study on Antibiotic Use-Related Knowledge, Attitude, and Practice Among Unqualified Village Medical Practitioners and Pharmacy Shopkeepers.
针对5岁以下儿童母亲开展的控制抗生素滥用及相关耐药性的宣传项目。
J Health Popul Nutr. 2025 Apr 12;44(1):115. doi: 10.1186/s41043-025-00823-4.
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Status and implications of the knowledge, attitudes and practices towards AWaRe antibiotic use, resistance and stewardship among low- and middle-income countries.低收入和中等收入国家对世界卫生组织基本药物示范清单(AWaRe)抗生素使用、耐药性及管理的知识、态度和实践现状与影响
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Perspective on Antibiotic Resistance in Bangladesh: A Critical Yet Overlooked Public Health Crisis.孟加拉国抗生素耐药性透视:一场严峻却被忽视的公共卫生危机。
Health Sci Rep. 2025 Jan 24;8(1):e70407. doi: 10.1002/hsr2.70407. eCollection 2025 Jan.
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One health assessment of farmers' knowledge, attitudes, and practices (KAPs) on zoonoses in Bangladesh.孟加拉国农民关于人畜共患病的知识、态度和行为的“同一健康”评估
Sci Rep. 2025 Jan 8;15(1):1258. doi: 10.1038/s41598-025-85462-9.
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Non-prescription antibiotic use and its predictors among children in low- and middle-income countries: a systematic review and meta-analysis.低收入和中等收入国家儿童非处方抗生素的使用及其预测因素:一项系统评价和荟萃分析。
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