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一药医百病?剖析孟加拉国大学生抗生素的滥用情况。

A pill for every ill? Unpacking antibiotic misuse among Bangladeshi university students.

作者信息

Ahsan Abu Hossain Muhammad, Rumi Maruf Hasan, Makhdum Niaz

机构信息

Department of Public Administration, University of Dhaka, Dhaka, Bangladesh.

Department of Public Administration, Begum Rokeya University, Rangpur, Bangladesh.

出版信息

Int J Qual Stud Health Well-being. 2025 Dec;20(1):2509346. doi: 10.1080/17482631.2025.2509346. Epub 2025 May 22.

Abstract

BACKGROUND

The misuse of antibiotics and the resulting emergence of antibiotic resistance in bacterial strains are both important global health issues worldwide, especially for developing countries including Bangladesh.

OBJECTIVE

The study investigated the antibiotic-seeking behaviour of Bangladeshi university students and the views of medical and public health experts on the harmful effects of antibiotic overuse on students.

METHOD

Forty in-depth students' interviews and 10 key informant interviews with medical and public health professionals were used to collect data using a qualitative study design and descriptive phenomenology research approach. Thematic analysis technique was conducted to analyse the collected data.

RESULTS

The study found university students frequently seek, ask for and consume antibiotics from pharmacies to recover quickly and reduce the time-cost-visit of treatment. In certain instances, medical practitioners recommend antibiotics as a general treatment approach to enhance their popularity among patients and expedite their recovery from illness. However, they are being led into protracted illness due to poor knowledge and excessive usage of antibiotics.

CONCLUSION

Students risk serious health issues by taking unnecessary antibiotics to recuperate quickly, which increases the nation's health burden. The study stresses the need for stricter restrictions and limiting antibiotic availability and intervention in educational, community and policy settings.

摘要

背景

抗生素的滥用以及由此导致的细菌菌株耐药性的出现是全球范围内重要的公共卫生问题,对于包括孟加拉国在内的发展中国家而言尤为如此。

目的

本研究调查了孟加拉国大学生寻求抗生素的行为以及医学和公共卫生专家对抗生素过度使用对学生有害影响的看法。

方法

采用定性研究设计和描述性现象学研究方法,对40名学生进行深入访谈,并对10名医学和公共卫生专业人员进行关键 informant 访谈以收集数据。采用主题分析技术对收集到的数据进行分析。

结果

研究发现,大学生经常从药店寻求、索要和使用抗生素,以快速康复并减少治疗的时间成本。在某些情况下,医生将抗生素作为一种常规治疗方法推荐,以提高自己在患者中的受欢迎程度并加速患者康复。然而,由于对抗生素知识的匮乏和过度使用,他们正陷入长期疾病之中。

结论

学生通过服用不必要的抗生素来快速康复,这使他们面临严重的健康问题,同时也增加了国家的健康负担。该研究强调需要更严格的限制,限制抗生素的可得性,并在教育、社区和政策层面进行干预。

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