乌干达瓦基索地区私人药房的抗菌药物管理:一种定性研究
David Musoke1, Grace Biyinzika Lubega2, Mimi Salome Gbadesire3
1Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, P. O. Box 7072, Kampala, Uganda. dmusoke@musph.ac.ug.
Journal of pharmaceutical policy and practice
|November 18, 2023
概括
乌干达的私人药房对抗微生物药物管理 (AMS) 的知识和实践有限. 提高他们的理解和装备可以显著帮助打击抗菌素耐药性 (AMR).
科学领域:
- 制药科学 制药科学
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
背景情况:
- 私营药房是乌干达等低收入和中等收入国家的主要医药接入点.
- 乌干达的抗菌药物管理 (AMS) 计划在很大程度上忽视了私人药房,造成了知识差距.
- 这项研究调查了乌干达瓦基索地区私人药房内的AMS知识和实践.
研究的目的:
- 探索私人药房工作人员对抗菌素耐药性 (AMR) 和AMS的当前理解.
- 确定私人社区药房中与AMS相关的现有做法.
- 发现阻碍在私人药房环境中有效实施AMS的挑战.
主要方法:
- 一个定性研究设计,利用31个深度访谈.
- 参与者包括药剂师,药房技术员/药剂师和私人零售药房的护士.
- 在使用NVivo 2020的转录面试数据上进行了主题分析.
主要成果:
- 通常使用的抗微生物药物包括口服的阿齐思罗密,安皮西林/克洛克萨西林,阿莫西林和西普罗夫洛克萨,通常没有处方.
- 参与者对AMR的了解有限,对AMS的认识很少,很少有人准确地定义AMR.
- 发现的抗微生物药物耐药性的关键因素是缺乏知识,抗微生物药物的过度使用/滥用,自我治疗和非处方销售.
结论:
- 私营药房对AMS实践的知识较差,实施有限.
- 解决知识差距和装备私人药房可以加强他们在打击乌干达抗菌耐药性的作用.
- 诸如医疗保健成本,客户满意度压力和业务导向等挑战阻碍了私人药房的AMS努力.
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