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维达巴地区医务人员的抗生素处方行为及其合理用药知识:我们在合理用药方面准备充分吗?

Antibiotic prescription practices and knowledge of its rational use among medical personnel in areas of Vidarbha: Are we equipped enough for rational use of medicines?

作者信息

Date Kalpana, Rewatkar Atharva, Pusdekar Yamini, Nagdeo Neena

机构信息

Department of Microbiology, NKP Salve Institute of Medical Sciences and Research Center and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.

Department of Community Medicine, NKP Salve Institute of Medical Sciences and Research Center and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.

出版信息

J Family Med Prim Care. 2025 Mar;14(3):1091-1097. doi: 10.4103/jfmpc.jfmpc_1418_24. Epub 2025 Mar 25.

Abstract

BACKGROUND

Antimicrobial resistance (AMR) is a worldwide issue encompassing a huge threat to medical pharmacology. Understanding the awareness and behavior on prudent use of antimicrobials is of utmost importance. Prescribing an antibiotic is a comprehensive process regulated by many parameters, including medical and paramedical staff, health care system, supplementary healthcare sources, patients, and the general population. An insufficient attitude, perception, comprehension, and transparency about the judicial use of antimicrobials and the increasing development of antibiotic-resistant microorganisms conclude a significant barrier to the use of antimicrobial resistance.

METHODOLOGY

The questionnaire was prepared to assess demographic details, awareness about microbial resistance, prescribing behavior, guidelines and sources of information, etc. The validated questionnaire was given to the participants at their convenience as paper-based or Google form. Quantitative data were summarized using descriptive statistics.

RESULTS

In India, there is a higher prevalence of antimicrobial resistance and incidences of practicing the use of broad-spectrum antimicrobials. A great difference in antibiotic prescribing patterns exists with connecting the various parameters such as locality, qualifications, and professions.

CONCLUSION

To restrain the fact of antimicrobial resistance, both preventive and restrictive measures are to be taken. It should highlight the gross reduction of antibiotic prescribing behavior and its prudent use by regulating the use of broad-spectrum antibiotics, drug dosages, and the World Health Organization AWaRe (Access, Watch, Reserve) antibiotics.

摘要

背景

抗菌药物耐药性(AMR)是一个全球性问题,对医学药理学构成巨大威胁。了解对抗菌药物谨慎使用的认知和行为至关重要。开具抗生素是一个受许多参数调节的综合过程,这些参数包括医护人员、医疗保健系统、补充医疗资源、患者和普通人群。对抗菌药物合理使用的态度、认知、理解和透明度不足,以及抗生素耐药微生物的不断发展,构成了抗菌药物使用的重大障碍。

方法

编制问卷以评估人口统计学细节、对抗菌药物耐药性的认知、处方行为、指南和信息来源等。经验证的问卷在方便的时候以纸质形式或谷歌表单的形式提供给参与者。定量数据使用描述性统计进行汇总。

结果

在印度,抗菌药物耐药性的患病率较高,使用广谱抗菌药物的情况也较为普遍。在将诸如地区、资质和职业等各种参数联系起来时,抗生素处方模式存在很大差异。

结论

为抑制抗菌药物耐药性这一事实,应采取预防和限制措施。应通过规范广谱抗生素的使用、药物剂量以及世界卫生组织的AWaRe(获取、观察、储备)抗生素,突出大幅减少抗生素处方行为及其谨慎使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c3/12007764/06f33125a8f2/JFMPC-14-1091-g001.jpg

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