药剂师在没有处方的情况下分发抗生素的做法,看法和挑战:巴勒斯坦的一个定性研究
Mohammad Qtait1, Nesreen Alqaissi1, Miriam Shahin1
1Nursing College, Palestine Polytechnic University, Hebron, Palestine.
JAC-antimicrobial resistance
|October 24, 2025
概括
抗菌素耐药性 (AMR) 是一个全球性的威胁. 在巴勒斯坦,由于患者需求和监管薄弱,药剂师在没有处方的情况下分发抗生素,需要加强执法和公共教育.
科学领域:
- 全球健康 全球健康
- 药房实践 在药房实践中
- 微生物学 微生物学
背景情况:
- 抗菌素耐药性 (AMR) 是一个严重的全球健康威胁,由不适当的抗生素使用驱动.
- 在巴勒斯坦,尽管有法律限制,但在没有处方的情况下开放抗生素是常见的.
- 有限的定性数据存在于社区药剂师对这种做法的看法.
研究的目的:
- 探索社区药剂师在巴勒斯坦在没有处方的情况下分发抗生素的做法,看法和挑战.
主要方法:
- 一个定性描述性研究,涉及半结构化,深入的采访与14名在约旦河西岸的许可药剂师.
- 有目的的抽样确保了参与者在城市,半城市和农村环境中的多样性.
- 使用Braun和Clarke框架进行的主题分析,确定了六个主要主题.
主要成果:
- 药剂师们知道法律的禁令,但注意到执法力度较弱和常见的非处方请求,特别是在季节性疾病期间.
- 患者的需求,医生访问的负担能力,以及关于抗生素的误解 (例如,治疗病毒感染) 推动了分发.
- 药剂师面临的挑战包括客户压力,商业竞争,时间限制,患者接受度障碍和道德冲突.
结论:
- 在巴勒斯坦,非处方抗生素的发行受患者需求,经济因素和监管弱点的影响.
- 加强执法,公众教育,专业培训以及将药剂师纳入抗菌药物管理工作至关重要.
- 需要在药房实践和国家政策中进行可行的改革,以减少不适当的抗生素使用和打击AMR.
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