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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses

Published on: August 30, 2018

A community intervention to decrease antibiotics used for self-medication among Latino adults.

Arch G Mainous1, Vanessa A Diaz, Mark Carnemolla

  • 1Department of Family Medicine, Medical University of South Carolina, 295 Calhoun St Charleston, SC 29425 USA. mainouag@musc.edu

Annals of Family Medicine
|November 11, 2009
PubMed
Summary
This summary is machine-generated.

Latino communities show high rates of obtaining antibiotics without a prescription (WORx). Educational interventions alone may not be enough; novel strategies are needed to reduce this behavior.

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Published on: July 10, 2017

Area of Science:

  • Public Health
  • Health Disparities
  • Infectious Disease Prevention

Background:

  • Antibiotic self-medication without a prescription (WORx) is prevalent in Latino communities.
  • Understanding factors influencing WORx is crucial for effective public health interventions.

Purpose of the Study:

  • To implement and evaluate a culturally sensitive educational intervention aimed at reducing antibiotic self-medication in Latino communities.
  • To assess the impact of education on antibiotic WORx in the United States and the likelihood of importing antibiotics.

Main Methods:

  • A 9-month community-based intervention using multiple media sources was conducted in Charleston, SC.
  • A control community in Greenville, SC, received only postintervention measures.
  • Surveys of Latino adults (n=250 per community) assessed antibiotic WORx and exposure to educational messages.

Main Results:

  • While many participants were exposed to educational messages, a significant proportion still obtained antibiotics WORx.
  • Acquiring antibiotics WORx in the US was primarily predicted by purchasing them outside the US, not by educational message exposure.
  • 25.9% in the intervention and 8.6% in the control community saw patient education pamphlets.

Conclusions:

  • Educational interventions alone may be insufficient to curb antibiotic self-medication (WORx) in Latino communities.
  • Behaviors common in home countries may influence antibiotic acquisition.
  • Novel, multifaceted approaches are required to effectively decrease antibiotic WORx.