评估哥斯达黎加卫生系统中公共和私营部门的抗微生物消费:当前情况和未来方向
José Pablo Díaz-Madriz1, Carolina Rojas-Chinchilla1, Esteban Zavaleta-Monestel2
1Pharmacy Department, Hospital Clínica Bíblica, San José, 10104, Costa Rica.
BMC public health
|November 19, 2024
概括
2019年,哥斯达黎加每天每1000名居民的抗菌药物消费量为14.32 DDD. 私营部门显示过度使用"观察"类抗生素,需要多部门政策来改善抗菌药物管理.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物监督 药物监督 药物监督
背景情况:
- 抗菌素耐药性 (AMR) 是一个关键的全球健康挑战.
- 有效的抗微生物消费 (AMC) 监测对于公共卫生战略至关重要.
- 包括哥斯达黎加在内的拉丁美洲国家在一致的AMC数据报告方面面临困难.
研究的目的:
- 估计和分析2019年哥斯达黎加的整体抗菌药物消费 (AMC).
- 为未来的AMC监测和该地区的政策制定提供基准.
主要方法:
- 在哥斯达黎加 (2019年) 的AMC的国家一级,回顾性,观察性和描述性分析.
- 使用了世界卫生组织 (WHO) 关于国家AMC监测的指南.
- 使用解剖治疗化学 (ATC) /定义每日剂量 (DDD) 系统进行分析,包括来自哥斯达黎加社会保障基金 (CCSS) 和IQVIA (私营部门) 的数据.
主要成果:
- 全国总的AMC为每1000名居民每天14.32个DDD (DID).
- 公共部门的消费为12.75 DID,而私营部门的消费为4.12 DID.
- 青素在国家和公共部门的使用中占主导地位;宏化物和林科萨米德在私营部门占主导地位. 在全国范围内,74.7%的消费是"准入"抗生素,而私营部门显示使用"观察"抗生素的比例更高 (61.0%).
结论:
- 整合公共和私营部门数据对于加强AMC监测至关重要.
- 私营部门对"Watch"抗微生物药物的高消费需要有针对性的干预措施.
- 多部门政策和合作对于有效的抗菌药物管理至关重要. 该方法可应用于其他拉丁美洲国家.
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