2019年印度系统性抗生素的消费量
Shaffi Fazaludeen Koya1, Senthil Ganesh2, Sakthivel Selvaraj2
1Boston University School of Public Health, Boston, MA, USA.
The Lancet regional health. Southeast Asia
|June 29, 2023
概括
印度消耗大量的宽谱抗生素,包括许多未经批准和固定剂量组合,有助于抗生素耐药性. 迫切需要进行政策和监管改革,以改善抗生素管理.
科学领域:
- 制药科学 制药科学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 不适当使用抗生素是印度抗生素耐药性的主要驱动因素.
- 无限制的非处方销售,固定剂量组合 (FDC) 和监管复杂性使抗生素控制复杂化.
研究的目的:
- 分析印度私营部门的抗生素消费模式.
- 根据AWaRe分类,配方类型,批准状态和NLEM列表来评估抗生素的使用.
主要方法:
- 分析来自国家药品销售数据集 PharmaTrac 的横截面数据.
- 使用定义每日剂量 (DDD) 和AWaRe分类计算人均消费量.
- 根据FDCs与单一配方,批准与未批准对抗生素的分类,以及NLEM列表.
主要成果:
- 2019年,总消费量为5.071亿个DDD (10.4个DDD/1000个/天).
- 观察类别的抗生素占消费量的54.9%.
- 未经批准的配方 (47.1%) 和FDC (34.0%) 占了消费的重要部分,Watch抗生素主导未经批准的产品.
结论:
- 尽管人均消费相对较低,但印度使用大量的广谱抗生素.
- 抗生素使用的很大一部分涉及未经批准的配方和非国家基本药物清单 (NLEM) 外的FDC.
- 紧急的政策和监管改革是必要的,以解决印度滥用和抗生素耐药性的问题.
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