Faye O, Ndir O, Gaye O, Bah I B, Dieng T, Dieng Y, Diallo S, Diagne A K
Département de Parasitologie, Faculté de Médecine et de Pharmacie, Dakar, Sénégal.
Med Trop (Mars). 1995;55(1):47-50.
The practices of health care workers and the population with regard to diagnosis of malaria and use of antimalarial drugs were studied in the city of Dakar from September 1991 to March 1992. Study included 847 heads of family, 191 treatment prescribers including 77 physicians, 53 nurses and 61 midwives, and 60 pharmacists. Three separate questionnaires were used: one for the population, one for physicians and paramedical staff, and one for pharmacists. The data collected showed that the 4 main symptoms used by both health care workers and the general population for diagnosis of malaria were fever, chills, vomiting, and headache. Treatment was administered upon suspicion of infection by 72% of treatment prescribers. Chloroquine was the drug most widely used by prescribers and for self-treatment of malaria. Prophylactic drug treatment was practised by all groups studied except treatment prescribers but was unappropriate for the target groups. Chloroquine is the drug most widely used to protect against the disease. Pharmacists have adequate supplies but distribution is poor. Despite promising results in the fight against malaria, further effort is needed to train health care workers and provide information to the population.
1991年9月至1992年3月，在达喀尔市对医护人员和民众在疟疾诊断及抗疟药物使用方面的行为进行了研究。研究对象包括847名户主、191名治疗开方者（其中77名医生、53名护士和61名助产士）以及60名药剂师。使用了三份不同的问卷：一份针对民众，一份针对医生和辅助医疗人员，一份针对药剂师。收集到的数据显示，医护人员和普通民众用于诊断疟疾的4种主要症状为发热、寒战、呕吐和头痛。72%的治疗开方者在怀疑感染时就进行治疗。氯喹是开方者和民众自我治疗疟疾时使用最广泛的药物。除治疗开方者外，所有研究群体都进行预防性药物治疗，但对目标群体并不适宜。氯喹是预防该疾病使用最广泛的药物。药剂师有充足的药品供应，但分发情况不佳。尽管在抗击疟疾方面取得了令人鼓舞的成果，但仍需要进一步努力培训医护人员并向民众提供信息。
