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探索布基纳法索农村社区抗生素使用情况:一项采用药袋法的家庭调查

Exploring Antibiotic Use in the Community: A Household-Based Survey Using the Drug Bag Method in Rural Burkina Faso.

作者信息

Compaoré Adélaïde, Rouamba Toussaint, Kaboré Bérenger, Jacobs Jan, Peeters Grietens Koen, Sariola Salla

机构信息

Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, 11 BP 218 Ouaga CMS 11, Nanoro, Burkina Faso.

Socio-Ecological Health Research Unit, Institute of Tropical Medicine Antwerp, 2000 Antwerpen, Belgium.

出版信息

Antibiotics (Basel). 2024 Sep 12;13(9):872. doi: 10.3390/antibiotics13090872.

DOI:10.3390/antibiotics13090872
PMID:39335045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11428394/
Abstract

In Burkina Faso, there is lack of awareness of antibiotic use at the community level. This study aims to generate information on the commonly used antibiotics along with the reasons for which they have been used in rural Burkina Faso. The drug bag method was employed to collect information from 423 households in the health district of Nanoro. Descriptive analyses were performed using R software version 4.2.1. Of the 33 antibiotics inventoried, amoxicillin tablets and oxytetracycline were the most recognized and used antibiotics. This study indicated that antibiotics were used for a range of health problems in the community, some of which were administered as painkillers. While primary healthcare facilities constituted the primary source of drugs for households (76.8%), informal drug sellers constituted an additional option (61.5%) for community members. This is a significant concern, given that some antibiotics classified as "Watch"-such as norfloxacin-were readily available in these outlets, despite not being included on the country's Essential Medicines List. This study underscores the necessity of considering the role played by formal providers in the inappropriate use of antibiotics and the importance of understanding the circumstances and logical reasoning underlying communities' access to and use of antibiotics.

摘要

在布基纳法索,社区层面对抗生素使用缺乏认知。本研究旨在获取布基纳法索农村地区常用抗生素的相关信息以及使用这些抗生素的原因。采用药袋法从纳诺罗健康区的423户家庭收集信息。使用R软件4.2.1版本进行描述性分析。在所列的33种抗生素中,阿莫西林片和土霉素是最广为人知且使用的抗生素。该研究表明,抗生素在社区用于一系列健康问题,其中一些被用作止痛药。虽然初级医疗保健机构是家庭药品的主要来源(76.8%),但非正规药品销售商也是社区成员的另一种选择(61.5%)。鉴于一些被列为“观察类”的抗生素——如诺氟沙星——在这些销售点很容易买到,尽管它们未被列入该国的基本药物清单,这是一个重大问题。本研究强调了考虑正规供应商在抗生素不当使用中所起作用的必要性,以及了解社区获取和使用抗生素的情况及逻辑推理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/44f565116a87/antibiotics-13-00872-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/f3d1a5c42d7d/antibiotics-13-00872-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/56c1916451ac/antibiotics-13-00872-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/1a33db888aad/antibiotics-13-00872-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/44f565116a87/antibiotics-13-00872-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/f3d1a5c42d7d/antibiotics-13-00872-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/56c1916451ac/antibiotics-13-00872-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/1a33db888aad/antibiotics-13-00872-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d7e/11428394/44f565116a87/antibiotics-13-00872-g004.jpg

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Biosecurity and water, sanitation, and hygiene (WASH) interventions in animal agricultural settings for reducing infection burden, antibiotic use, and antibiotic resistance: a One Health systematic review.动物农业环境中的生物安保以及水、环境卫生和个人卫生(WASH)干预措施,以减少感染负担、抗生素使用和抗生素耐药性:一项重视健康的系统评价。
Lancet Planet Health. 2023 May;7(5):e418-e434. doi: 10.1016/S2542-5196(23)00049-9.
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Prevalence and predictors of self-medication with antibiotics in selected urban and rural districts of the Dodoma region, Central Tanzania: a cross-sectional study.
坦桑尼亚中部多多马地区部分城乡地区自行使用抗生素的流行情况及影响因素:一项横断面研究。
Antimicrob Resist Infect Control. 2022 Jun 16;11(1):86. doi: 10.1186/s13756-022-01124-9.
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Emerging Antimicrobial Drug Resistance in Africa and Latin America: Search for Reasons.非洲和拉丁美洲新出现的抗菌药物耐药性:探寻原因
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