在印度的初级和二级医院实施抗菌药物管理:使用混合方法设计的需求评估研究的临时发现
Falguni Debnath1, Rajyasree Ghosh De1, Debjit Chakraborty2,3
1ICMR-National Institute of Cholera & enteric Diseases, Kolkata, India.
Scientific reports
|November 14, 2024
概括
印度较低级别医院的抗生素处方率仍然很高,需要量身定制的抗菌药物管理计划 (AMSP). 现有的基础设施显示出优化抗生素使用和打击抗菌素耐药性 (AMR) 的潜力.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 卫生系统研究 卫生系统研究
背景情况:
- 抗菌药物管理计划 (AMSP) 主要是在印度的三级医院.
- 较低级别的医院是患者接触的最初点,这使得它们对抗生素的使用至关重要.
- 抗菌素耐药性 (AMR) 是一个日益增长的全球健康问题.
研究的目的:
- 评估印度较低级别医院的抗生素和多种抗生素处方率 (APR,MPR).
- 确定现有的卫生系统优势,以优化抗生素处方.
- 为初级和中等保健机构提供定制AMSP的开发提供信息.
主要方法:
- 在印度西孟加拉邦的八个低级别医院进行了一项横截面的,融合的并行混合方法研究.
- 对600份常见感染 (UTI,ARI,AUFI,ADD) 的门诊处方进行定量分析.
- 使用内容分析对医疗保健专业人员进行深入采访的定性分析.
主要成果:
- 抗生素处方率 (APR) 在初级医院为63.8%,在二级医院为60.8%.
- 多种抗生素处方率 (MPR) 在二级医院 (23.8%) 更高.
- 促进AMSP实施的促进者包括感染控制委员会,指定的护理人员,处方审计和加强监测.
结论:
- 较低级别的医院需要定制的抗微生物管理计划 (AMSP) 来解决高抗生素处方率的问题.
- 目前的感染控制活动没有与AMR制努力相结合.
- 在这些设施中优化抗生素的使用是至关重要的,因为它们为印度三分之二的人口提供服务.
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