针对卫生保健工作者使用抗生素的行为实践 - 塞拉利昂,2021年:基于设施的横截面研究
Aminata Tigiedankay Koroma1, Patrick Maada Bundu1, Musa Sheriff1
1Sierra Leone Field Epidemiology Training Program, Freetown, Sierra Leone.
The Pan African medical journal
|April 29, 2024
概括
抗菌素耐药性 (AMR) 是一个全球性的威胁. 在塞拉利昂,一项研究发现,只有45%的医疗保健工作者 (HCW) 展示了良好的抗生素处方实践,突出了需要改善教育和干预措施来打击AMR.
科学领域:
- 全球健康 全球健康
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗菌素耐药性 (AMR) 构成了全球健康的重大威胁,每年造成数百万人的死亡.
- 关于塞拉利昂卫生保健工作者 (HCW) 处方抗生素实践的数据有限,塞拉利昂是一个面临这一挑战的地区.
研究的目的:
- 评估塞拉利昂医疗保健工作者对抗生素处方的做法.
- 确定与良好的和不良的抗生素处方实践相关的因素.
主要方法:
- 在塞拉利昂的337个高压工厂中进行了横截面调查.
- 数据采集使用利克尔特尺度问卷来评估抗生素处方实践.
- 统计分析,包括调整的赔率比率 (aOR),用于确定风险因素.
主要成果:
- 只有45%的HCW表现出良好的抗生素处方实践.
- 显著比例的HCW (83%) 没有进行微生物学测试就处方了抗生素,39%错误地将发烧与抗生素耐药性相关联.
- 作为一名医生,使用互联网获取信息,并将AMR视为问题与良好的处方实践有关.
结论:
- 这项研究揭示了塞拉利昂的HCW在抗生素处方方面的良好实践水平较低.
- 建议开展健康教育活动和持续专业发展计划,以改善抗生素使用和打击AMR.
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