在马来西亚的公共和私人社区医疗保健中使用抗生素的比较
Audrey Huili Lim1, Norazida Ab Rahman2, Siti Nur Su'aidah Nasarudin3
1Institute for Clinical Research, National Institutes of Health, Shah Alam, Malaysia. audreylim@moh.gov.my.
BMC public health
|January 3, 2024
概括
马来西亚的抗生素使用情况
科学领域:
- 药理学和公共卫生
- 医疗保健系统分析 医疗保健系统分析
- 传染病管理 传染病管理
背景情况:
- 马来西亚有双重的初级医疗保健系统:公共和私人.
- 马来西亚私营部门对抗生素使用的研究有限.
- 需要最近的公共与私人初级保健抗生素使用的比较数据.
研究的目的:
- 测量和比较马来西亚公共和私人初级保健部门的抗生素使用情况.
- 分析从2018年到2021年的趋势.
主要方法:
- 全国药品采购和销售数据 (2018-2021) 的回顾性分析.
- 报告的抗生素利用率是每天1000名居民每天的确定每日剂量 (DID).
- 分析包括AWaRe抗生素类别的比例.
主要成果:
- 从2018年到2021年,国家整体抗生素使用量下降.
- 2021年,私人初级保健用抗生素的使用量明显高于公众 (近10倍).
- 公共部门主要使用"准入"抗生素 (>90%),而私营部门使用较低 (64.2-68.3%),增加了"观察"和"储备"抗生素的使用.
结论:
- 在马来西亚,私人初级保健部门的抗生素消费量明显高于公共部门.
- 针对私人处方者和公众的干预措施对于减少不适当的抗生素处方至关重要.
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