在社区药房免处方开放抗生素:一个模拟患者研究
Thu Anh Do1, Phuong Bao Quan1, Thy Tran-Bao Le1
1Faculty of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
Exploratory research in clinical and social pharmacy
|April 3, 2025
概括
胡志明市的社区药剂师经常为普通感冒提供抗生素,通常没有关于使用或风险的充分咨询. 这种做法凸显了需要改善药剂师之间的抗生素管理教育.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染病管理 传染病管理
- 公共卫生 公共卫生
背景情况:
- 抗生素耐药性是一个日益增长的全球健康威胁.
- 社区药剂师不适当地分发抗生素有助于耐药性.
- 了解普通感冒症状的处方做法对于干预至关重要.
研究的目的:
- 为了调查胡志明市社区药剂师对普通感冒症状的抗生素分发模式.
- 评估在开放抗生素时提供的咨询内容.
- 为了确定与抗生素发行实践相关的因素.
主要方法:
- 在胡志明市的352家社区药房中,采用模拟患者方法进行了一项横截面研究.
- 模拟患者呈现出普通感冒症状并要求接受治疗.
- 贝叶斯模型平均值用于分析与分发实践相关的因素.
主要成果:
- 社区药剂师在83.0%的病例中为普通感冒症状分发了抗生素.
- 对抗生素使用,原因和不良反应的咨询很少 (1.7% - 8.8%).
- 与连锁药房和城市地区相比,独立药房和农村地区的抗生素分发率更高.
结论:
- 很大一部分社区药剂师在常见感冒症状时不适当地分发抗生素.
- 关于抗生素使用和风险的患者咨询不够普遍.
- 需要有针对性的干预措施来改善社区药房的抗生素管理,特别是在独立和农村环境中.
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